Note: Screw fixation gives absolute stability and additional plaster cast for immobilization to prevent secondary displacement is not mandatory.
A posterior plaster splint can be applied for 1-2 weeks for pain management, and in younger children to prevent use of the arm. In older children an arm sling is sufficient.
If the child remains for some hours/days in bed, the elbow should be elevated on pillows to reduce swelling and pain.
The postoperative protocol is as follows:
- Discharge from hospital according to local practice (1-3 days)
- First clinical and radiological follow up, depending on the age of the child, 4-5 weeks postoperatively out of the cast
- In most cases, at this first x-ray control, the fracture is consolidated and stable so that cast is no longer required
- During the first clinical follow-up, parents/carers should be informed about the timing of implant removal
- Physiotherapy is normally not indicated
The screw can be removed after 2-3 months. Screw removal can be performed as a day case under light general anesthesia.