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Forearm fixation
1Section of Hand Surgery, Cleveland Clinic Florida, Fort Lauderdale, USA.
Hand Clinics
|December 24, 1997
Summary
Open reduction and internal fixation, particularly plate fixation, is the preferred treatment for most adult forearm fractures, leading to low complication rates and early function. Hardware removal after healing carries a risk of refracture and is not always necessary.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Skeletal Repair
Background:
- Forearm fractures are common injuries in adults.
- Treatment aims to restore function and stability.
- Various surgical techniques exist for fracture management.
Purpose of the Study:
- To review the optimal surgical management of adult forearm fractures.
- To highlight the effectiveness of open reduction and internal fixation (ORIF).
- To discuss complications and considerations for hardware removal.
Main Methods:
- Review of current surgical practices for forearm fractures.
- Emphasis on open reduction and internal fixation (plate fixation).
- Discussion of techniques for high-energy and open fractures.
Main Results:
- ORIF, especially plate fixation, is the gold standard for most forearm fractures.
- Meticulous surgical technique minimizes complication rates.
- Early active function is achievable with appropriate fixation.
- Alternative fixation methods (internal/external) may be used for complex fractures.
Conclusions:
- Open reduction and internal fixation provide reliable outcomes for adult forearm fractures.
- Careful surgical execution is key to minimizing complications.
- Hardware removal is not universally required and poses a refracture risk.