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INTERNAL FIXATION IN THE TREATMENT OF FRACTURES OF THE SHAFTS OF THE RADIUS AND ULNA IN ADULTS

The Value of Delayed Operation in the Prevention of Non-union

J. E. M. Smith 1

1 Birmingham Accident Hospital

The place of internal fixation in the treatment of fractures of the shafts of the radius and ulna in adults is discussed, and the results in 130 fractures treated by internal fixation are reviewed.

Non-union was found to be the most frequent and serious complication after internal fixation.

The incidence of non-union can be greatly reduced if operation is delayed for at least one week, and preferably two to three weeks after injury.

Evidence is presented to support the value of delayed operation in the promotion of union of fractures.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General