Midshaft Both Bone Forearm Fracture: Plate Fixation

  • Andrea Bauer
Living reference work entry


Forearm fractures are among the most common pediatric fractures. The location of the fracture and the age and skeletal maturity of the patient determine how much deformity can be tolerated and therefore which treatment methods are best. For adolescent patients with displaced both-bone forearm fractures, open reduction and plate fixation enable an anatomic reduction. In general, a volar approach to the radius and a subcutaneous approach to the ulna are used. Appropriately sized plates can range from 1.5 to 3.5 mm depending on the age and size of the patient.

References and Suggested Readings

  1. Baldwin K, Morrison MJ 3rd, Tomlinson LA, Ramirez R, Flynn JM (2014) Both bone forearm fractures in children and adolescents, which fixation strategy is superior – plates or nails? A systematic review and meta-analysis of observational studies. J Orthop Trauma 28(1):e8–e14CrossRefPubMedGoogle Scholar
  2. Franklin CC, Robinson J, Noonan K, Flynn JM (2012) Evidence-based medicine: management of pediatric forearm fractures. J Pediatr Orthop 32(Suppl 2):S131–S134CrossRefPubMedGoogle Scholar
  3. Vopat BG, Kane PM, Fitzgibbons PG, Got CJ, Katarincic JA (2014) Complications associated with retained implants after plate fixation of the pediatric forearm. J Orthop Trauma 28(6):360–364CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of OrthopedicsBoston Children’s HospitalBostonUSA

Section editors and affiliations

  • Jennifer M. Ty
    • 1
  1. 1.Department of Orthopedic SurgeryNemours: Alfred I. duPont Hospital for ChildrenWilmingtonUSA

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