OPEN REDUCTION AND INTERNAL FIXATION OF FRACTURE BOTH BONES OF FOREARM THROUGH A SINGLE POSTERIOR CURVILINEAR INCISION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 43
Abstract
BACKGROUND Fractures of both the radius and ulna in adults are usually treated by operative method and plating of both forearm bones by two separate incisions is the most commonly adopted method. Sometimes we find difficulty in closure of the wound, particularly when we need adding bone graft to our procedure. When we came across this difficulty, we have started doing fixation through a single curvilinear incision placed posteriorly and exposing radius and ulna through two separate muscle planes. MATERIALS AND METHODS From 1995 to 2016 we have treated 130 consecutive cases of fracture both bones of forearm with this method, 43 patients were female, and 87 patients were male. 22 patients required bone grafts. Fractures united in all patients, there was no skin necrosis or cross union. RESULTS All patients gained more than 90% of elbow movements and radio ulnar movements. Mean DASH score was 14. Single scar in the extensor aspect of forearm is cosmetically better than two scars produced by anterior exposure. CONCLUSION Treatment of fracture both bones of forearm through a single curvilinear posterior incision is cosmetically better, there is no difficulty in wound closure and there is excellent range of motion of both elbow and radio ulnar joints, and if we carefully develop muscle planes and remain aware of position of posterior interosseous nerve there is no chance of neurological complications.
Authors and Affiliations
Sibaji Chaudhuri, Joydeep Mandal, Kaunteya Ghosh, Pradyumna Chakrabarty, Swarnabha Mukhopadhyay
Keywords
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- EP ID EP598951
- DOI 10.18410/jebmh/2018/615
- Views 91
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