Functional outcome of surgical management of fracture both bones forearm in adults using LC-DCP
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Background: Forearm bone fractures are commonly encountered in today’s industrial era due to road traffic accidents, contact atheletic participation and falls from a height. Treatment by closed reduction and cast immobilization risks a poor functional outcome with unsatisfactory results reported in up to 92% of cases, usually caused by malunion, nonunion, or synostosis. Open reduction and internal fixation with plating is generally accepted as the best method of treatment for displaced diaphyseal fractures of the forearm in the adult. This study will be conducted to analyze diaphyseal fractures of the forearm treated with limited contact dynamic compression plate and will document their clinical and functional outcome. Materials and Methods: A prospective, non-controlled, non-randomized, non-blinded observational study, on patients with diaphyseal fractures of both bone forearm admitted in Department of Orthopaedics, RIMS, Ranchi during two years time interval (from 1st October 2015 to 30thSeptember 2017) in the age group of 19 to 70 years with a mean age of 36.29 years was conducted. 53 Patients were selected for the study from those presenting to our hospital. The outcome was assessed based the disabilities of arm; shoulder and hand (DASH) score. Results: Results were analysed according to disabilities of arm; shoulder and hand (DASH) score. Excellent functional outcome result in 40 patients (80%), satisfactory in 5 patients (10%) while remaining had fair to poor outcome. Mean final DASH score of 23.99 was recorded among the study group. Maximum number of patients had no complication, complication like superficial infection were reported among few patients. Despite these complication the overall functional result was good; suggesting that open reduction and internal fixation with limited contact dynamic compression plate (LC -DCP) is an effective treatment modality in these fractures. Conclusion: Open reduction and internal fixation with limited contact dynamic compression plate (LC-DCP) is an effective method of treatment for AO type A3, B3 and type C both bone forearm fracture. This implant is particularly helpful in osteoporotic bones.
Authors and Affiliations
Dr. Ravijeet Prakash, Dr. Shashi Kant Kumar Singh, Dr. Ankur Ojha, Dr. LB Manjhi
Keywords
Related Articles
- EP ID EP487716
- DOI 10.22271/ortho.2018.v4.i4a.06
- Views 125
- Downloads 0
Fracture of the entire posterior process of the talus: A case report and review of the literature
Although fractures of talus and talar neck are relatively common, fracture of entire posterior process of talus is very rare. Since this injury is rarely encountered, most of the available information comes from previous...
Functional outcome of metaphyseal and diaphyseal fractures of tibia treated with expert tibial interlocking nail: A prospective study
Introduction: Tibia is the most commonly fractured bone due to road traffic accidents and other high-energy trauma and surgical management is required for most of these fractures, with either internal or external fixatio...
Incidence of femoro-acetabular impingement in adult Indian population on the basis of specific radiological findings: A prospective study
Introduction: Femoroacetabular impingement is a major cause of early osteoarthritis of the hip, especially in young and active patients. It is characterized by an early pathologic contact during hip joint motion between...
Surgical management of open tibial shaft fractures in adults by reamed versus unreamed intramedullary interlocking nailing: A comparative study
Back ground and objectives: Tibial diaphyseal fractures are one of the commonest long bone fractures encountered by most of the orthopaedic surgeons. Because most of the length of tibia is subcutaneous throughout, open f...
Assessment of radiological outcomes in gap non-union of long bones using non-vascularised fibular strut graft augmented with corticocancellous graft
Background: A prospective study was conducted in the department of Orthopaedics & Traumatology in Dr. D.Y Patil Hospital, Navi Mumbai from January 2015 to June 2017 to assess radiological outcomes in traumatic gap non-un...