This fixation is sufficiently stable to permit early movement and daily activities. Additional immobilization with a plaster cast or splint is not required.
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:
- Early postoperative clinical documentation is undertaken
- If postoperative x-ray control shows unsatisfactory alignment, this can be adjusted, usually without further anesthesia
- Pin care according to local practice
- According to the level of pain, early movement of the elbow should be encouraged
- Discharge from hospital according to local practice (1-3 days)
- First clinical and radiological follow-up is, depending on the age of the child, usually 4-5 weeks postoperatively
- In most cases, the child is able to move the elbow almost fully at this first check-up
- Physiotherapy is normally not indicated
Removal of external fixator
Removal of the external fixator is undertaken according to local practice (sedation/local anesthesia, short anesthesia, or N2O2) after the first x-ray control provided fracture healing is seen.