Treatment

The key to successful treatment is to restore the length of the fractured ulna

NONOPERATIVE

OPERATIVE

3/13/13

Solomon Louis.,Warwick C. David.,Nayagam Selvadurai. Appleys System Of Orthopaedics And Fracture. Ed.9.

Non-Operative Treatment

Closed reduction
Can often be performed for :
-

Incomplete ulnar fractures on children

For reduction of radial head before ulnar shafts open reduction

3/13/13

Solomon Louis.,Warwick C. David.,Nayagam Selvadurai. Appleys System Of Orthopaedics And Fracture. Ed.9. Handbook of Fractures

Operative Treatment

In adults, this means an operation through a posterior approach. Especially if :

complete fractures on children the radial head does not reduce, or is not stable, after ulnar reduction, needs another operative treatment.

3/13/13

Solomon Louis.,Warwick C. David.,Nayagam Selvadurai. Appleys System Of Orthopaedics And Fracture. Ed.9. Handbook of Fractures

3/13/13

Solomon Louis.,Warwick C. David.,Nayagam Selvadurai. Appleys System Of Orthopaedics And Fracture. Ed.9.

After Treatment

If the elbow is completely stable, then flexion extension and rotation can be started very soon after surgery. If there is doubt, then the arm should be immobilized in plaster with the elbow flexed for 6 weeks. For closed reduction on children, the arm is then immobilized in a cast with the elbow in flexionLouis.,Warwick C. David.,Nayagam Solomon and 3/13/13 Selvadurai. Appleys System Of supination, for 3 weeks.