الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Orthopedic injuries such as both types of forearm fractures are common. The best course of treatment depends on the patient’s age as well as the characteristics of the fracture. Due to the bone’s capacity to remodel with residual growth, acceptable alignment in pediatric patients can withstand greater fracture displacement. Closed reduction and casting are typically effective treatments for these fractures, but operative fixation may also be necessary.
There is uncertainty regarding the best fixation technique. At the moment, the two most common surgical procedures are open reduction with intramedullary fixation or open reduction with closed plate fixation. The benefits of plating include the potential for hardware retention, greater familiarity with the procedure among surgeons, and theoretical superiority in radial bow restoration. Because there is less need for soft tissue dissection, intramedullary nailing has become more and more popular recently. However, hardware removal requires a second operation.
The third most common fracture in the pediatric population, diaphyseal fractures of the radius and ulna in children, also known as both bone forearm fractures, account for 13–40% of all pediatric fractures.1, 2 Both significant displacement and plastic deformity are included in the fracture severity range. For most of these fractures in the past, closed reduction and casting have been the cornerstones of non-operative care.
But in an attempt to enhance clinical outcomes, there has been a recent trend toward more surgical management of these fractures.
The age, kind, and displacement of the fracture all affect how these fractures are managed. Depending on the child’s age and remodeling capacity, different degrees of angulation can be tolerated given their potential for physical growth. For many of these fractures that fall within acceptable alignment parameters, long arm cast immobilization is still a viable treatment option, and after cast immobilization, children are generally not at high risk of developing significant elbow stiffness. When it comes to fracture patterns that cannot be closed down to a reasonable size.
It is advised to use surgical ma