Arnold Besselaar, Daniel Green, Andrew Howard
The availability of surgical resources influences the timing of the treatment.
Temporary plaster splint immobilization and elevation is an effective component of pain management until surgery is undertaken.
Vascular compromise is the only absolute indication for emergency surgery.
The management of open fractures can be delayed overnight, provided there is no gross contamination and parenteral antibiotics are administered promptly.
Fractures involving the distal physis require early surgical treatment to reduce the risk of growth disturbance.