Description
In this engaging presentation by Lee Van Rensburg, the discussion revolves around the management of forearm fractures in adults, specifically advocating for operative treatment over 'doing nothing.' Lee recounts his journey through various studies and historical practices, highlighting how the pendulum of treatment has swung towards operative fixation since the 1950s. He dives deep into the distinctions between treatment for both-bone forearm fractures, isolated ulnar shaft fractures, and isolated radial shaft fractures. With humor and personal anecdotes, he emphasizes the evolution of techniques from historical methods to modern jigs, the importance of proper fixation, and the debates surrounding operation versus conservative management. Through analyses of clinical trials, he concludes that while surgical intervention is often favorable for both-bone and radial shaft fractures, the choice for isolated ulnar fractures can rest with the patient, given the lack of strong evidence. Lee’s presentation not only provides a thoughtful overview of current practices but also encourages a patient-centered approach in the decision-making process.
DOI: 10.1302/3114-250982