Adult Both Bone Forearm Frx: PreOp Planning 

- Location of Frx:
    - distal 1/3  : 75%
    - middle 1/3  : 18%
    - proximal 1/3:  7%

- Surgical Approach:
    - Proximal Radius Fx (Thompson)
    - Distal Radius Fx (Henry)

- Comminution:
    - side of comminution may dictate plate placement;
    - comminution involving more than 1/3 of circumference of shaft may necessitate bone grafting;
    - bone grafting should be away from interosseous membrane to decrease risk for synostosis;
    - ref: The management of segmental bone loss associated with forearm fractures.

- Lag Screw:
    - see: lag screw theory:
    - may be possible with oblique fractures;

- Implants for Frx of Radius & Ulna:
    - plate needs sufficient length for 4-6 cortices on either side;

- Reduction Clamps:
    - ensure that a wide variety of reduction clamps are available, especially if there is fracture comminution



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, August 3, 2012 10:37 am