FRACTURE BOTH BONES OF THE FOREARM

FRACTURE BOTH BONES OF THE FOREARM
Treatment
Conservative treatment: Undisplaced, incomplete
fractures are treated by immoblilization with an
above elbow plaster slab or cast. The treatment for
displaced fractures consists of closed reduction by
traction and counter traction methods under general
anesthesia followed by an

above elbow plaster cast,
is usually successful in children.
Surgery: In adults ORIF is often indicated because it
is difficult to regain length, apposition, axial and
normal rotational alignment in adults by closed
reduction. Open reduction is by two approaches, one
for the radius and the other for the ulna.
The choice of implants for ulna is either a medullary
nail or plate and screws but for fracture radius, rigid
compression plating is usually desired. Cancellous bone grafting is done if the
comminution is more than one-third of the
circumference of the bone.