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Refractures after forearm plate removal.

K Rumball1, M Finnegan

  • 1Division of Orthopaedic Surgery, University of Ottawa, Ontario, Canada.

Journal of Orthopaedic Trauma
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Plate removal after forearm fracture fixation can lead to refracture. This study found a 6% refracture rate, influenced by initial fracture severity and post-removal care.

Area of Science:

  • Orthopedic surgery
  • Bone healing and physiology

Background:

  • Internal fixation devices are commonly used for forearm fractures.
  • Debate exists regarding the necessity of removing these devices due to potential complications.
  • Clinical experience highlights risks associated with reoperation.

Purpose of the Study:

  • To evaluate the incidence of refracture after removal of internal fixation devices in forearm fractures.
  • To identify factors associated with refracture following plate removal.

Main Methods:

  • Retrospective review of patients undergoing forearm plate removal over a 5.5-year period.
  • Analysis of refracture rates and associated influencing factors.

Main Results:

  • Four refractures occurred in 63 patients, resulting in a 6% incidence rate.

Related Experiment Videos

  • Factors linked to increased refracture risk included high initial displacement and comminution, plate characteristics, early removal, and inadequate post-removal protection.

    • Conclusions:

    • Forearm plate removal carries a significant risk of refracture.
    • Careful consideration of fracture characteristics, hardware, timing of removal, and post-operative protection is crucial to minimize refracture risk.