Pediatric Open Both-Bone Forearm Fracture Stabilized with Titanium and Stainless Steel Stacked Extension Internal
Jason Shih Hoellwarth1, Brian P Scannell2
1Department of Pediatric Orthopaedics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Case:
A 12-year-old male patient sustained a multisegmental both-bone forearm fracture. Definitive stabilization was ulna intramedullary pinning, with stainless steel plating of the radius followed by a titanium plate stacked atop and extending internal fixation. Currently, 36 months after surgery, he experiences no limitations or complications. All hardware remains in situ.
Conclusion:
We believe this is the first description of different material plates in direct contact, of stacked plates, and of 1 plate extending another's fixation. No adverse effects developed.
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Assessment:
1. Clinical Evaluation:
History:
