Abstract
Aims: The use of bio-absorbable þxation plates and screws, constructed of self-reinforced (SR) polylactic acid co-polymer for internal þxation of forearm fractures in children is described in this study. These plates (thickness:1,2 mm) and screws (diameter:2,4 mm) are usually used in reconstructive surgery in the mid-face and craniofacial skeleton. Methods: Eleven patients (aged 4–12 years old), who had suffered from fractures of the distal third of the forearm (7 cases) and isolated radial fractures (4 cases), were surgically treated in our Department with absorbable þxation plates and screws, during the last 3 years. As close-reduction attempts failed in all these fractures, surgical treatment was mandatory. The general principles of internal þxation were followed in all cases. The internal þxation, with the use of these plates and screws, was reinforced with the application of a long forearm cast for a period of 4–6 weeks. Antibiotics were administered for 7 days. Results:The follow-up time ranged from 1 to 2 years. No bone or soft tissue infections were noticed postoperatively. Callus formation appeared in the expected time. Conclusions: The use of absorbable plates and screws, as a means of internal þxation, in the surgical treatment of forearm fractures in children that cannot be treated conservatively, combined with the application of a long cast, provides sufþcient and adequate osteosynthesis. The use of these materials renders a second (extremely distressful for children) re-operation for the removal of metallic implants completely unnecessary.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
