PMC9360504_01
X-ray images (A,B) of the left forearm showed both bone forearm fractures with marrow edema.
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F1
Considering the possibility of both bone forearm fractures, the emergency doctor suggested the patient to take x-ray examinations (Figures 1A,B).
Preoperative three-dimensional reconstructive CT images (A-D) of the left forearm.
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F2
The characteristics of both bone forearm fractures were assessed by three-dimensional reconstructive CT scans (Figures 2A-D).
(A,B) Postoperative x-ray films of the left forearm. (C,D) X-ray films of the patient at 1 month after surgery. (E,F) X-ray films of the patient after removal of the internal fixation at 12 months after surgery.
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F3
The patient underwent open reduction and internal plate fixation of ulna and closed reduction and internal ESIN fixation of radius (Figures 3A,B), with no plaster fixation after the operation. The fracture healed 4 months later (Figures 3C,D). The internal fixation was removed 12 months postoperatively (Figures 3E,F).
Follow-up after 12 months of surgery of the patient. (A) The flexion and (B) extension functions of the elbow joint. (C) The supination and (D) pronation of the forearm.
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F4
DASH score, 25 points in the 1st month, 13.7 points in the 4th month, and 6.7 points in the 12th-month. During the 12th month follow-up period, the range of supination and pronation was 88  and 85 , which was 92% and 90% of the contralateral rotation, respectively. (Figures 4A-D).