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Related Concept Videos

Fractures: Bone Repair01:27

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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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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Related Experiment Video

Updated: Feb 20, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Intra-operative Technique for Managing Paediatric Distal Forearm Fractures.

Dheeraj Panchaksharam Selvarajan1, Nika Majidi1, Ravi Mallina1

  • 1Orthopaedics, Croydon Health Services NHS Trust, London, GBR.

Cureus
|February 19, 2026
PubMed
Summary

This study presents a new surgical method for paediatric distal forearm fractures. The minimally invasive technique uses gentle manipulation to reduce complications and improve outcomes in pediatric fracture care.

Keywords:
fracture of distal radiusintra-operative techniquesminimally invasive surgical procedurespaediatric fracturepaediatric injuriestrauma and orthopedics

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Surgical Techniques

Background:

  • Paediatric distal forearm fractures are common injuries requiring surgical intervention.
  • Traditional reduction techniques carry risks like iatrogenic displacement and neurovascular injury.
  • Existing methods may involve forceful manipulation, potentially damaging growth plates.

Purpose of the Study:

  • To describe an alternative intra-operative reduction technique for paediatric distal forearm fractures.
  • To address limitations of traditional forceful manipulation methods.
  • To present a minimally invasive approach for improved fracture management.

Main Methods:

  • A minimally invasive approach with a small incision for haematoma identification and evacuation.
  • Gentle reduction of fracture fragments using McDonald's elevator under image intensifier guidance.
  • Percutaneous insertion of Kirschner wires (K-wires) for stable fracture fixation.

Main Results:

  • The described technique allows for precise haematoma evacuation and gentle fracture fragment reduction.
  • It minimizes the force required for manipulation and reduces soft tissue disruption.
  • Kirschner wire fixation provides stable stabilization of the paediatric forearm fracture.

Conclusions:

  • This alternative technique offers potential technical advantages over traditional methods for paediatric distal forearm fractures.
  • It represents a reproducible approach for intra-operative management, reducing risks.
  • Further outcome assessments are warranted, but the technique shows promise for pediatric orthopedic surgery.