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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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History:
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Formation of the Platelet Plug01:22

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The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
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Updated: Sep 21, 2025

Author Spotlight: Exploring Regeneration in Axolotls Through Insights in Cellular and Molecular Mechanisms, Bone Healing, and Implications for Human Therapies
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Forearm Plate Fixation: Should Plates Be Removed?

Navapong Anantavorasakul1,2, Jonathan Lans1, Nicolaas H A Wolvetang1

  • 1Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, USA.

The Archives of Bone and Joint Surgery
|June 3, 2022
PubMed
Summary
This summary is machine-generated.

Forearm plate removal increases refracture risk, especially in the radius. Consider retaining radius implants if the ulnar implant is symptomatic to minimize refracture after forearm fracture fixation.

Keywords:
ForearmFractureImplant removalOsteosynthesisPlate removalRefracture

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Bone Fracture Repair

Background:

  • Plate fixation is common for diaphyseal forearm fractures.
  • The risk of refracture after implant removal is not well-established.
  • This study investigates refracture rates associated with plate removal versus retained implants.

Purpose of the Study:

  • To test the hypothesis that there is no difference in refracture rates between retained and removed forearm implants.
  • To identify factors associated with plate removal after forearm fracture fixation.

Main Methods:

  • Retrospective review of 645 adult patients with 925 forearm fractures treated with plate fixation (2002-2015).
  • Exclusion of patients with nonunion, pathological fractures, or infection.
  • Multivariable analysis to identify independent factors for refracture and plate removal.

Main Results:

  • Refracture rate was 6.3% with plate removal vs. 2.1% with retained plates.
  • Plate removal independently increased refracture risk (OR: 3.7).
  • Refractures were more common in the radius and occurred within 3 months of removal.

Conclusions:

  • Refracture rates are significantly higher after forearm plate removal.
  • Radius refractures are more common than ulnar refractures post-removal.
  • Selective ulnar implant removal may be preferable to minimize refracture risk.