Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jul 26:9:949727.
doi: 10.3389/fsurg.2022.949727. eCollection 2022.

Hybrid fixation with ESIN for both bone forearm fractures in adults: A case report and literature review

Xiaodong Bai  1 , Zhenyu Liu  1 , Wentao Chen  1 , Baojun Wang  1
Affiliations
Case Reports

Hybrid fixation with ESIN for both bone forearm fractures in adults: A case report and literature review

Xiaodong Bai et al. Front Surg. .

Abstract

Objective: Both bone forearm fractures are common in children and rare in adults. The main surgical treatment is open reduction and internal fixation (ORIF) with plate, while the hybrid fixation of elastic-stable intramedullary nailing (ESIN) and the plate has been rarely reported before.

Case report: We report a case of a 29-year-old male patient with both bone forearm fractures. Temporarily closed reduction and plaster external fixation were performed in the emergency room, and the patient was admitted to the orthopedic trauma ward for surgery. The patient underwent open reduction and plate fixation of the ulna and closed reduction and ESIN fixation of the radius. The fractures healing was satisfactory and the internal fixation was removed 12 months postoperatively.

Conclusion: The hybrid fixation of ESIN and plate is an effective option for both bone forearm fractures in adults.

Keywords: case report; elastic-stable intramedullary nailing; forearm fractures; hybrid fixation; open reduction and internal fixation.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
X-ray images (A,B) of the left forearm showed both bone forearm fractures with marrow edema.
Figure 2
Figure 2
Preoperative three-dimensional reconstructive CT images (A–D) of the left forearm.
Figure 3
Figure 3
(A,B) Postoperative x-ray films of the left forearm. (C,D) X-ray films of the patient at 1 month after surgery. (E,F) X-ray films of the patient after removal of the internal fixation at 12 months after surgery.
Figure 4
Figure 4
Follow-up after 12 months of surgery of the patient. (A) The flexion and (B) extension functions of the elbow joint. (C) The supination and (D) pronation of the forearm.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Morrison MJ, Speirs JN, Chicorelli AM, Garner M, Flynn JJM, Herman MJ. Intramedullary fixation of both bone forearm fractures in children and adolescents: healing correlates with development of the olecranon apophysis. J Pediatr Orthop. (2020) 40(3):e198–202. 10.1097/BPO.0000000000001419 - DOI - PubMed
    1. Ploegmakers J, Groen W, Haverlag R, Bulstra S. Predictors for losing reduction after reposition in conservatively treated both bone forearm fractures in 38 children. J Clin Orthop Trauma. (2020) 11(2):269–74. 10.1016/j.jcot.2019.04.022 - DOI - PMC - PubMed
    1. Upasani VV, Li Y. Elastic intramedullary nailing of pediatric both bone forearm fractures. JBJS Essent Surg Tech. (2020) 10(4):1–2. 10.2106/JBJS.ST.19.00055 - DOI - PMC - PubMed
    1. Poutoglidou F, Metaxiotis D, Kazas C, Alvanos D, Mpeletsiotis A. Flexible intramedullary nailing in the treatment of forearm fractures in children and adolescents: a systematic review. J Orthop. (2020) 20:125–30. 10.1016/j.jor.2020.01.002 - DOI - PMC - PubMed
    1. Lee SK, Kim YH, Kim SM, Choy WS. A comparative study of three different surgical methods for both-forearm-bone fractures in adults. Acta Orthop Belg. (2019) 85(3):305–16. PMID: 31677626 - PubMed

Publication types

LinkOut - more resources