Pediatric distal forearm 23-M/3.1

Closed or open reduction; external fixator

External fixation

Main indication: Open fractures (Gustilo III) and/or polytrauma

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

Advantages

  • Rapid application in polytrauma
  • Allows definitive cast-free management of soft tissues, fractures and pain
  • Allows correction of secondary malalignment

Disadvantages

  • Requires skilled practitioner and full surgical facilities
  • Risk of pin-track problems and need for 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

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v1.0 2016-12-01