Dynamic compression plating is the gold standard for the treatment of fracture both bones of forearm: A series of 30 cases
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
The forearm movements are important in activities of daily living. The proximal and distal radioulnar joints, allows pronation and supination required to perform multi axial movements. Fractures of forearm bones have become more common due to increased high speed vehicles, industrialization, sports and mechanical farming. Inadequate treatment of those fractures may result in severe loss of function. Good anatomical reduction and internal fixation is necessary to restore function. The aim of present study was to assess the functional outcome of ORIF of fracture both bones forearm using Dynamic Compression Plate. Material and methods: Thirty patients (18-50 years age) of with diaphyseal fractures of both bones forearm from November 2016 to October 2018 were treated by ORIF using 3.5mm DCP by standard techniques and results were evaluated based on "Anderson et al.” scoring system. Results: We had 23 (76.66%) excellent results, 4 (16.66) satisfactory results and 1 (3.33%) unsatisfactory result and 1 (3.33%) failure. The failure was due to ulnar nonunion which was later treated by ORIF with bone graft. Conclusion: With use of DCP for ORIF of both bones forearm fractures, we can achieve all four AO principles of internal fixation (1) Anatomical reduction, (2) Preservation of vascularity, (3) Mechanically stable fixation, (4) Rapid mobilization of joints. Thus, DCP is a good implant for treating displaced fractures of the forearm bones.
Authors and Affiliations
Dr. Sudhir KAM Shandilya, Dr. RM Mallikarjun Reddy, Dr. Sravan Chandar Dutta, Dr. Gontu Venkat Satya Rahul Reddy, Dr. Srinivas Rudra, Dr. Gandham Satya Avinash
Keywords
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- EP ID EP487773
- DOI 10.22271/ortho.2018.v4.i4c.29
- Views 114
- Downloads 0
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