COMPARISON BETWEEN INCIDENCE OF POSTERIOR INTEROSSEOUS NERVE INJURY FOLLOWING VOLAR APPROACH AND DORSAL APPROACH IN FIXING FRACTURES OF PROXIMAL HALF OF RADIAL SHAFT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 14
Abstract
BACKGROUND Open reduction and internal fixation, with plates and screws, is the preferred standard method of treatment of displaced fractures of the shaft of the forearm bones. Proximal half of shaft of radius can be approached either by volar (anterior) or dorsal (posterior) approach. Posterior Interosseous Nerve (PIN) injury is a common complication of both the approaches. The aim of this study was to compare incidence of Posterior Interosseous Nerve (PIN) injury following any one of the approaches used for open reduction and internal fixation (ORIF) of fractures involving proximal half of shaft of the radius. METHODS This prospective randomised study was conducted from July 2015 to June 2017, at Department. of Orthopaedics, Calcutta National Medical College and Hospital. Open reduction and internal fixation was done on fifty (50) patients, who presented with fracture of proximal half of radial shaft, with 3.5 mm Limited Contact Dynamic Compression Plate (LCDCP) or 3.5 mm Dynamic Compression Plate (DCP) and corresponding screws. Volar approach was done on twenty-five patients and in the rest, dorsal approach was used. Comparison of PIN Palsy in each approach was the primary concern. RESULTS PIN palsy occurred in 2 patients of VA (volar approach) and 3 patients of DA (dorsal approach). Two patients in each group had infection, which resolved to conservative methods and one patient of VA group and 2 patients in DA group had non-union. CONCLUSIONS Incidence of PIN palsy was higher in DA in our study, but further study is needed.
Authors and Affiliations
Rajiv Roy, Soumendu Besra, Subhasis Ranjan Mitra, Debasis Sinha Roy, Atish Haldar
Keywords
Related Articles
- EP ID EP615922
- DOI 10.18410/jebmh/2019/235
- Views 67
- Downloads 0
GENDER DIFFERENCE AND FACTORS AFFECTING PRE HOSPITAL DELAY AMONG PATIENTS WITH ACUTE MYOCARDIAL INFRACTION
BACKGROUND Acute Myocardial Infraction (AMI) is a serious and life-threatening manifestation of coronary artery disease (CAD) affecting both males and females, which need immediate management. The present study was aimed...
A SURVEY ON THE INCIDENCE OF PSEUDO-THROMBOCYTOPENIA IN THE IN-PATIENTS
Fever with thrombocytopenia is frequently encountered in the clinical settings. However some cases of thrombocytopenia are associated with clumping of platelets resulting in pseudothrombocytopenia. This results in dispar...
MULTIPLE MYELOMA- ANALYSIS OF DIAGNOSTIC CRITERIA AND PROGNOSTIC FACTORS
BACKGROUND Multiple myeloma is a plasma cell neoplasm that accounts for about 10% of haematological malignancies. It is characterised by a single clone of plasma cells producing a monoclonal protein (M protein), which re...
A STUDY ON CLINICAL AND PROGNOSTIC SIGNIFICANCE OF GAMMA-GLUTAMYL TRANSFERASE IN PATIENTS WITH ACUTE STROKE
BACKGROUND Stroke is one of the major health problems in many countries. There is supporting evidence suggesting that Gamma-Glutamyl Transferase (GGT) enzyme has an active involvement in atherosclerosis through its oxida...
FINE NEEDLE ASPIRATION CYTOLOGY OF PERIPHERAL LYMPHADENOPATHY IN CHILDRENA 3 YEAR EXPERIENCE
BACKGROUND Lymphadenopathy is one of the commonest clinical presentations among the paediatric age group. Evaluation of a child with lymphadenopathy is a common clinical scenario for the paediatricians and poses a diagno...