Objectives. The use of bio-absorbable fixation plates and screws, constructed of self-reinforced (SR) polylactic acid co-polymer for internal fixation of forearm fractures in children is described in this study. This type of plates (thickness:1,2 mm) and screws (diameter:2,4 mm) is 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 fixation 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 fixation were followed in all cases. The internal fixation, 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 post-operatively.
Results. The follow-up time ranged from 12 to 24 months. No case of bone or soft tissue inflammation was noticed post-operatively. Callus formation appeared in the expected time.
Conclusions. The use of absorbable plates and screws, as a means of internal fixation, in the surgical treatment of forearm fractures in children that cannot be treated conservatively, combined with the application of a long cast, provides sufficient 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.
