What Are the Different Treatments for Forearm Fractures?

The forearm bone is composed of ulna and radius. Double forearm fractures are also called ulnar radius double fractures, and they are more common fracture types in clinical orthopedics. Double forearm fractures account for 7.5% of systemic long bone fractures, and its incidence is the second highest among forearm fractures ^[1] .

Double forearm fracture

The forearm bone is composed of ulna and radius. Double forearm fracture

1, direct violence: more common blow or machine injuries. Injury fractures are horizontal or comminuted, and the fracture lines are in the same plane.

2. Indirect violence: The falling palm touches the ground to convey the fracture of the middle or upper 1/3 of the radius upward, and the residual violence is transferred to the ulna through the interosseous membrane, causing the ulna fracture.

3, torsional violence: at the same time by external forces, the forearm was also caused by torsional external forces caused fractures. When falling, the body is inclined on the same side, and double-bone spiral fractures occur in the forearm over pronation or supination. Most of the fractures are inclined from the ulna to the outside of the radius.

1. Clinical manifestations: The structure of the forearm's double bones and the distribution characteristics of the osteofascial compartment lead to forearm swelling and pain, blisters when fractures occur, and osteofascial compartment syndrome in severe cases, causing severe trauma to the patient ^[2]

1. Filming (X-ray film)

The key to the treatment of forearm double fractures is to promote the recovery of the patient's forearm rotation function. If the treatment is not timely or the care is improper, it will easily affect the patient's forearm function recovery and seriously affect the patient's quality of life.

Efficacy criteria:

Excellent: The anatomical reduction of the fracture or fracture close to the anatomical reduction, the wrist, forearm rotation function and knuckle function fully recovered.

Good: Wrist and knuckle functions recovered well, forearm rotation function was good, and fracture alignment was good.

Yes: Wrist and knuckle functions recovered slightly, forearm rotation function was significantly limited, and fracture alignment was slightly better.

Poor: Wrist and knuckle functions are not restored, forearm rotation is limited, and fracture alignment is poor.

Treatment methods: closed reduction and surgical reduction. There are internal and external fixation methods. Prevent joint adhesion, joint capsule contracture, etc. by actively or passively moving unfixed joints.

The prognosis of forearm double fractures is related to many factors, such as the mechanism and degree of injury, the classification and displacement of fractures, open or closed fractures, the extent and scope of soft tissue injuries, whether there are concurrent neurovascular injuries, and whether the treatment method is selected. Timely and effective. Therefore, close observation is needed after the operation. Pay attention to the following complications: fracture and re-fracture of the steel plate, ossification of the interstitial bone, vascular and nerve damage, infection, bone defect, nonunion, and healing of deformity. To avoid these complications.