Pediatric distal forearm 23u-E/2.1

Open reduction; K-wire fixation

Open reduction; K-wire fixation

Main indication: Irreducible major displacement

Skill: Some specialized surgical experience
Equipment: Simple surgical and imaging resources

Advantages

  • Allows direct anatomical reduction
  • Prevents secondary displacement

Disadvantages

  • Requires skilled practitioner and full surgical facilities
  • Risk of soft tissue compression if cast is not split
  • Risk of pin-track problems and need for implant removal

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

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v1.0 2016-12-01