Q:

Both-bone forearm fractures in adults are best managed by:

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Both-bone forearm fractures in adults are best managed by:


  1. Closed reduction and casting.
  2. Closed reduction and application of an external fixator.
  3. Open reduction and placement of intramedullary rods.
  4. Open reduction and internal fixation with compression plates.

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D. Open reduction and internal fixation with compression plates.

DISCUSSION: Studies have shown that function is best restored with less complications if open reduction and rigid fixation is achieved with compression plates. Closed reduction rarely achieves an anatomic position and some forearm rotation is therefore usually lost. External fixation is occasionally used in severe open fractures. 

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