Abstract
In a series of 517 consecutive closed displaced fractures of the forearm in children, only 12 required open reduction. The chief indications for the procedure are: fractures that cannot be reduced or held closed; displaced diaphyseal fractures in patients over 10 years old; multiple fractures in the same limb; and open fractures. Semirigid fixation with intramedullary pins is preferred over fixation with plates, because the former requires less exposure, allows easier removal, and carries no risk of refracture.
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