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forearm fracture

More On The Forearm Fracture

To say a forearm fracture is “no fun” would be underselling it. The bruising, swelling, grinding and lacerations that can come with an injury of this type can be debilitating if not properly treated.

And forearm fractures are actually far more common than you might expect, whether in children or adults. Under either frequent, consistent strains or during some sort of accident, your forearm is almost never safe.

But it is possible to understand the anatomy of an arm fracture. And that’s what today’s article, from leading orthopedic supplier, Toby Orthopaedics, is going to do.

Forearm Fractures in Adults and Children

Nearly half of all childhood fractures take the shape of forearm fractures, usually occurring at the distal end of the radius. These fractures can be classified by the specific bone area affected its stability, the cleanliness of the break, and the completion of the fracture itself.

Classifications include:

  • Torus fractures: this fracture results from the top layer of bone compressing on one side after a harsh impact. These fractures are considered stable.
  • Metaphyseal fracture: these fractures affect the upper and lower shafts of bones, but do not affect the growth plate.
  • Greenstick fracture: fractures like this extend only through part of the bone, forcing it to bend in the opposite direction.
  • Galeazzi fracture: usually a displaced fracture that disrupts the radius and wrist joint at the point where the radius and ulna meet.
  • Monteggia fracture: fractures of this type occur when the radius dislocates, usually involving the ulna shaft and disrupting the elbow joint. They require urgent care.
  • Growth plate fracture: as the name implies, fractures of this type occur across the growth plate.

In children, we find that these fractures differ from adults, largely because their bones are still growing. This means they have a higher level of cartilage and collagen in each bone, making them more pliable and actually less subject to a break because they bend with impact. These fractures can actually be so subtle that it’s difficult to detect on an x-ray, requiring a specialist to assess they’re even there.

The Adult Forearm Fracture

Fracture classifications apply to adults in the same way they do to children. The only real exception to this is with growth plate and greenstick fractures. As adult bones are less “pliable”, they have a higher tensile strength, and breaks tend to be more serious. We see this particularly often in adults suffering from osteoporosis, where an impact can cause significant damage.

When it comes to forearm fracture treatment, the best treatment is a quality repair job. This kind of injury is extremely painful but can be mitigated with expert repair work. At TOBY Orthopaedics is one of the leading suppliers of orthopedic components for use in flexor tendon, proximal humerus, and long bone fracture repairs. Visit or contact us today to find out more about our amazing product line!

comminuted fracture

Under the Microscope: Comminuted Fracture Treatment

What most people get wrong about a broken bone is thinking of it like a pretzel, snapped neatly in two. This could be the case, depending on how you go about it, but the truth is it’s seldom this cut-and-dry. A lot of the time, an impact strong enough to break a bone will be strong enough to splinter it into multiple parts, move those parts around, and create something that is, in no way, neat.

Join us, today, as we take a closer look at one of these kinds of breaks, the problematic comminuted fracture.

Comminuted Fracture: What Are They?

The term “comminuted fracture” applies to a specific type of broken bone. Due to the sudden, intense nature of the impact, the bone is broken haphazardly, fragmenting off into more multiple pieces. These can be various sizes and shapes and, perhaps more importantly, their size and independence mean they can move away from the primary break site. This makes them more difficult to repair in any meaningful way.

How Does This Kind of Fracture Happen?

As we’ve mentioned, a comminuted fracture doesn’t result from a short tumble off a swing set. These are high-impact injuries, the kind you find in serious car accidents or after someone takes a large fall.

We make this distinction because, physically, the amount of force needed to break a bone explosively like this is in its own distinct category. Splintered, fragmented breaks are much more common in these cases. When diagnosing a comminuted fracture, a high impact accident can also help to save time in “guessing” at whether there are missing bone fragments, which can cause their own problems.

Comminuted Fracture Treatment

While nothing is ever set in stone, it’s mostly a foregone conclusion that someone with a comminuted fracture will likely require surgery. High-end orthopedic plates and implants, like those available from Toby Orthopaedics, allow for targeted treatment of these problem areas.

Innovative suture clips, for example, enable soft tissue reconstruction and help to secure comminuted bone. These same clips also function as low-profile plate extensions, helping to buttress comminuted cortical bone from developed tuberosities.

For more information on these and other amazing internal plate systems from Toby Orthopaedics, why not reach out and get in touch with us? Learn more about our product line and how you can use these products to better your own life, today!

bone fracture

Wolf Plate Bone Fracture Repair

Cast immobilization still has a place in the treatment of long bone fractures. With that said, orthopaedic surgeons today are increasingly inclined to recommend surgery geared at restoring function as soon as possible.

This surgery implies making large incisions for full view of the fracture or smaller incisions for more minimally invasive surgery.

Open reduction internal fixation is the surgical act of making an incision and exposing the fracture. Hardware is then used to stabilize the fracture. Most commonly, the hardware being used is a thin, long, flat metal plate with openings for screws. 

Other types of hardware can include long rods that fit inside the hollow portion of the bone. Repairing a fractured bone with these long rods is referred to as intramedullary fixation.

A bone fracture can also be stabilized with an external fixator. These are frames outside of the limb, affixed to the bone with large pins through the skin into the bone.

Join us, today, as we continue our look at bone fracture repair and the Wolf component’s place in this extremely competitive industry.

Fracture Categories

Surgeons qualify a fracture as simple or comminuted, as we have seen. We also categorize fractures as either closed or open. A closed fracture is one with no associated skin wounds. An open fracture is one where the broken bone ends have actually pierced through the skin envelope and have been exposed to the outside the skin. Open fractures are prone to infection especially if they are severely contaminated with dirt and debris.

A surgeon might decide to bone graft a fracture when portions of the bone are missing, as is common in open and comminuted fractures. The source of these grafts is most commonly from the patient’s own iliac crest (the crest of the pelvis) or, increasingly often, bone graft substitutes.

The Technique of Plate Fixing

Fixing fractures with a plate has become one of the most popular techniques used by today’s orthopedic surgeons. Plate fixation allows a surgeon to achieve immediate stability and repair any other associated injuries, starting the rehabilitation process sooner than later.

Patients also benefit from surgery, with greatly reduced fracture pains once the surgeon has stabilized the fracture fragments. Return to function and work are imperative in our modern lives, and this desire has driven great advances in surgical techniques and developments.

Wolf offers surgeons several unique features. Surgeons can install a screw in two very different orientations in a single screw hole, a feature that is unique to Wolf. The surgeon may decide that the fracture fragment is in a direction opposite to one of the possible screw orientations.

In addition to this, Wolf is the first plate to allow the placement of two screws in one single hole. This is in order to create a divergent screw configuration with a much higher resistance to pull out and torsional control. Wolf is also the first plate with numbered holes so that surgeons can utilize minimally invasive techniques and avoid large incisions when the situation permits.

Wolf also allows surgeons to use screws of different diameters, or even smooth screws or pegs. Finally, Wolf comes in different profiles, lengths, and curvatures to address differences in all patients. After all, not all of us are the same. All these features add up to make Wolf the most capable plate available.

Applications

Wolf is completely at home in most fracture situations, including fractures with severe comminution and those with bone loss. It’s also appropriate in challenging situations where the patient may require revision surgery.  This can include cases of non-healing fractures and ones healed incorrectly (mal-union). Where bones have to be re-broken and re-aligned to restore function and minimize pain, Wolf is especially useful.

At Toby, we adhere to the belief that the best technology and innovation has to be available to the surgeon. Each patient counts! In addition to this, the competitive prices of our premium devices help to meet the demands for cost containment in Health Care. Cost should not imply a sacrifice in quality and innovation. At least we at Toby don’t think so!

Reach out and get in touch with Toby Orthopaedics for more on the leading orthopaedic implants in the industry, today!