Pediatric forearm shaft 22u-D/6

Open reduction; plate fixation

Open reduction; plate fixation

Main indication: Insufficient stability to hold radial head reduced; unstable injury in adolescents and young adults

Skill: Highly experienced and skilled surgeon
Equipment: Full specialized surgical and imaging resources

Plating is the standard technique for treating forearm fractures in adults and is therefore primarily indicated for skeletally mature or nearly mature children.

It is an alternative in younger children where ESIN is unavailable.

Supporting indications

  • Bowing with osteotomy

Advantages

  • Cast-free rehabilitation
  • Anatomical reduction or overcorrection
  • Absolute stability

Disadvantages

  • Risk of infection
  • Neurovascular injury
  • General anesthesia required
  • Second anesthetic required for implant removal
  • Scar(s)
  • Bulk of implant
  • Potentially prolonged bone healing time
  • Demanding technique
  • Image intensifier or arthrotomy necessary for radiocapitellar joint visualization

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

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v1.0 2018-11-28