This narrative review examines the management of adult diaphyseal both-bone forearm fractures, synthesizing evidence from large case series and biomechanical principles to guide selection of operative fixation strategy based on fracture complexity.
When you see an adult both-bone forearm fracture, plan ORIF: compression plating for simple patterns, bridge or locked plating for comminuted injuries.
When patients ask about plate removal, counsel them that 11% risk refracture and the majority see no benefit — routine removal is not recommended within the first year.
This narrative review examines the management of adult diaphyseal both-bone forearm fractures, synthesizing evidence from large case series and biomechanical principles to guide selection of operative fixation strategy based on fracture complexity.
When you see an adult both-bone forearm fracture, plan ORIF: compression plating for simple patterns, bridge or locked plating for comminuted injuries.
When patients ask about plate removal, counsel them that 11% risk refracture and the majority see no benefit — routine removal is not recommended within the first year.