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Open Reduction and Internal Fixation of Forearm Fractures
The forearm is a unique regional structure within the musculoskeletal system. Not only does it serve as a platform for the origins and insertions of various muscle groups that produce elbow and wrist flexion and extension, it also is associated with its own intrinsic motions—supination and pronation. Anatomically, the forearm serves as a gantry, helping the terminal functional unit, the hand, to be placed three dimensionally within a person’s environment to interact with the surroundings, thus facilitating the use of tools, self-care and feeding, and independence. Injuries to the forearm have the potential to seriously impair these functions. Given the role of the radius and ulna as a platform for muscle function, restoring stable, pain-free continuity to these bones is essential. Because the forearm itself functions as a joint with its own motion, accurate anatomic restoration is mandatory.