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fixation","evidence_status":"limited"},"techniques":[{"name":"Open reduction and internal fixation with plates and screws","suits_whom":"Most displaced adult shaft fractures of the radius and ulna.","recovery":"Early finger and gentle arm motion; union in about 2-4 months."},{"name":"Intramedullary nailing","suits_whom":"Selected simple or midshaft fractures, or when minimal soft-tissue exposure is desired.","recovery":"Similar timeline; the splint or cast need may differ."},{"name":"External fixation","suits_whom":"Severe open fractures or contaminated wounds, often as temporary fixation.","recovery":"Longer course; often needs a later definitive fixation."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for plate fixation of one or both forearm bones in an uncomplicated closed fracture; excludes anesthesia and recovery."},"initial_assessment_documents":["Forearm X-rays, front and side views","Forearm CT scan report (if available)","Emergency or discharge report from injury","Photos of the forearm skin and wound","Previous arm surgery or implant records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 10-14 days until wound check and suture removal, then follow-up with home surgeon."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon about the goals, method, risks and recovery plan of the surgery","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/patient-guide-to-safe-surgery","host":"orthoinfo.aaos.org","quote":"It is important that you understand the goals of your surgery, how the surgery will be done, any possible risks or complications, and the plan for your recovery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in 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is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pressure building up in the forearm","urgency":"emergency","general":false,"source":{"url":"https://orthoinfo.aaos.org/diseases--conditions/distal-radius-fractures-broken-wrist/","host":"orthoinfo.aaos.org","quote":"One is called compartment syndrome, which happens when pressure builds up in the forearm.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pus draining from the 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for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your broken bone is in a good position","name":"Cast for a broken wrist","source":{"url":"https://orthoinfo.aaos.org/diseases--conditions/distal-radius-fractures-broken-wrist/","host":"orthoinfo.aaos.org","quote":"If the broken bone is in a good position, your doctor may put you in a cast until the bone heals.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your bone has moved and can be repositioned without a cut","name":"Closed reduction","source":{"url":"https://orthoinfo.aaos.org/diseases--conditions/distal-radius-fractures-broken-wrist/","host":"orthoinfo.aaos.org","quote":"Then, your doctor gently pulls and moves your wrist to 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