Fractures Of The Radius And Ulna In Adults: An Analysis Of Factors Affecting Outcome
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 2
Abstract
Concurrent data were collected by the authors for fractures of the shafts of the radius and ulna in 90 adult patients to determine the relationshipof subjective, objective, radiographic and economic outcome parameters to the method of treatment, type of fracture (open or closed), degree of commination and the presence of other injuries .Patients treated by open reduction and internal fixation (ORIF) with plate fixation had less pain, lost less forearm rotation and returned to the same work following injury more frequently than those treated by closed reduction and casting (CR) or pins-in-plaster (PIP). The greatest advantages of ORIF over other treatment methods were improved skeletal alignment and forearm rotation, the factors most often associated with return to the same work followinginjury. Except for a longer time to union and a higher rate of infection, the outcomes of open and closed fractures were very similar. The presence of other injuries was a strong predictor of a compromised end result, primarily because of more pain, greater loss of forearm rotation, and less frequent return to thesame work. The inclusion of patient satisfaction and work status in the assessment of outcomes and the concept of "functional malunion", an outcome-based interpretation of a radiographic finding, should help in counselling patients as to the likely economic and functional impacts of these injuries.
Authors and Affiliations
N B Goyal, Shubham Mishra, Sagar Chichole
Keywords
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