Wedge fractures of the radius may have an intact or fragmented wedge. These fractures are typically treated by open compression plating and functional aftertreatment. Smaller wedges or fragmented wedges might be left unfixed, larger fragments should be incorporated into the internal fixation.
Intramedullary nailing of forearm fractures is currently limited to pediatric fractures and severe multifragmentary injuries of one or both forearm bones in the presence of devastating soft-tissue damage. Pediatric fractures are not included in this module of AO Surgery Reference. Discussion of nailing in adult forearm shaft fractures is confined to multifragmentary fractures of both bones in adult AO Surgery Reference.
|Minimally displaced fractures|
Minimally displaced fractures may be treated nonoperatively, e.g., with a long-arm cast followed by a brace.
|A means of temporary fixation for severely open fractures|
External fixation can be indicated in severely open fractures as means of temporary fixation (with a view to later conversion to internal fixation).
|ORIF - Compression Plating|
|Treatment of choice|
The treatment of choice for displaced forearm shaft fractures is ORIF with absolute stability. This is achieved using a compression plate with or without lag screw.
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|