Functional Outcome Of Open Reduction And Internal Fixation Of Segmental (BIFOCAL) Forearm Fractures
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background- Segmental fractures of the forearm bones are rare and occasionally seen by trauma surgeons. These are often seen in high velocity injuries, and hence are accompanied by high degree of comminution and compounding of fracture fragments. Proper preoperative planning is required for optimal restoration of forearm function .Although Segmental fractures of forearm bones have been classified by AO group, it does not provide a treatment algorithm .Aim of our study is to analyze the functional outcome of segmental forearm fractures treated by various modalities, and to classify these fractures based on management modalities. Materials and methods- Between January 2009 to December 2015 19 patients with segmental forearm fractures who underwent operative management were included. Patients less than 18 years and group III-b and group III -c open fractures (Gustilo and Anderson) were excluded . For the study purpose the segmental fractures of (radius or ulna) were classified in to five groups and operative procedure was defined for each group based on fracture location and pattern. Results - A total of 19 patients were included in the study. 16 were male and 3 female patients. According to the Grace and Eversmann rating system 9 patients (47%) had an excellent result, 7 patients (36%) had good result, and 3 patients (15%) had acceptable result. Conclusions- Although segmental fracture pattern can be classified by AO classification, guide lines for management of these fractures have not been defined. Based on our classification and treatment algorithm for segmental forearm fractures in 19 patients we had good to excellent results in 16(84%). Average union time in our series was 30 weeks. An Attempt has been made to classify segmental forearm fractures based on treatment modalities which can be adapted for most segmental fractures.. Our study has limitations in that it involves a small number of patients and further long term randomized control studies are needed.
Authors and Affiliations
Santosh S Jeevannavar, Prasanna Baindoor, Keshav S Shenoy
Keywords
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