A Study of Surgical Management of Fracture Both Bones Forearm in Adults with Limited Contact Dynamic Locking Compression Plate and Screws
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: Forearm fractures characterize most injuries. Thus, effective management of forearm fractures requires an understanding of the anatomy as well as the function of the ulna, radius, interosseous membrane, distal and proximal radioulnar joints. Plate fixation is the most commonly used technique for the treatment of shaft fractures of both forearm bones. However, all fractures are difficult to treat with plate fixation because of soft tissue injuries, fracture patterns, or the patient's condition. The present study was done from January 2016 to December 2016 which consists of 25 cases of fracture both bones of the forearm. All the cases were openly reduced and internally fixed with 3.5mm LCP. Proximal radius was approached by dorsal Thompson incision and volar Henry approach was used for middle and distal radius. A narrow 3.5mm LCP was used and a minimum of 6 cortices were engaged with screw fixation in each fragment. All the patients were followed up at monthly intervals for first 3 months and evaluation was done based on "Anderson et al” scoring system. Elbow movements and wrist movements were noted and the union was assessed radiologically. The age of these patients ranged from 18-80 years with fracture being most common between 18-40 yrs age group (52%), followed by 41-60 yrs age group (36%) and an average age of 32.8 years. Out of 25 patients, 20 patients (80%) were males and 5 patients (20%) were females showing male preponderance because of working in factories, fields, travelling and sports and bikers having road traffic accidents [Table 1]. Mode of injuries were noted as direct blow, fall on an outstretched arm, often during sports or from a height and road traffic accidents or automobile/motorcycle accidents 12%, 36% and 52% respectively. In conclusion, at the end of their study that open reduction and internal fixation of adult forearm shaft fractures using small Dynamic Compression Plate was associated with a high rate of success. Results with this type of plate are comparable with the newer and more expensive implants. Open reduction and internal fixation helps in perfect fracture reduction, rigid fixation, better bone healing and early mobilization, the normal functions of the hand can be achieved at the earliest.
Authors and Affiliations
Dr. Prasad Veeragandham, Dr. Subarna Misra
Keywords
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