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Forearm fixation

J A McAuliffe1

  • 1Section of Hand Surgery, Cleveland Clinic Florida, Fort Lauderdale, USA.

Hand Clinics
|December 24, 1997
PubMed
Summary
This summary is machine-generated.

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.

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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.

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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.