Pediatric forearm shaft 22u-D, 21r-E/M

Open reduction; plate fixation

Open reduction; plate fixation (ulna)

Main indication: 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

  • Medullary canal too narrow for adequate intramedullary nail diameter

Advantages

  • Cast-free rehabilitation
  • Anatomical reduction or overcorrection of ulnar fracture
  • Length stability

Disadvantages

  • Risk of infection
  • Neurovascular injury
  • General anesthesia required
  • Second anesthetic required for implant removal
  • Scar(s)
  • Potentially prolonged bone healing time
  • Demanding technique

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