Pediatric forearm shaft 22u-D/6

Closed reduction; cast fixation

Closed reduction; cast fixation

Main indication: Fracture manipulation leading to stable ulnar fracture and reduced and stable radiocapitellar joint possible

Skill: Some specialized surgical experience
Equipment: Basic equipment only

A well-molded cast is recommended to ensure maintenance of satisfactory ulnar reduction with stable and congruent radiocapitellar joint reduction.

Early radiological follow-up is necessary to check radial head position. If there is any doubt about reduction, operative treatment of the ulna is recommended.

Reduction of bowing and greenstick injuries of the ulna, whilst simultaneously maintaining stable reduction of the radial head is difficult to achieve.

Contraindications

  • Radial head not perfectly reduced

Advantages

  • No requirement for implant removal

Disadvantages

  • Unstable radiocapitellar joint reduction
  • High risk of displacement requiring additional general anesthetic and treatment

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

Appendix

Shortcuts

Contact | Disclaimer | AO Foundation

v1.0 2018-11-28