Outcome analysis of hybrid fixation technique (radius nailing and ulna plating) in closed proximal radius and ulna fractures in adults
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background: The aim of the study was to evaluate results of hybrid fixation technique (radius nailing and ulna plating) in closed proximal radius and ulna fractures in adults. The hypothesis behind hybrid fixation is to provide rigid fixation and restoration of forearm length, by ulna plating and large diameter square nail in radius gives rotational stability without any posterior interosseous nerve palsy in proximal radius and ulna fractures. Closed nailing of proximal radius avoid posterior interosseous nerve palsy which has high probability in open surgical approach. Materials and method: We prospectively evaluated 25 patients with closed proximal radius and ulna fractures. 20 males and 5 females with mean age of 30.7 years underwent closed reduction and intramedullary nail fixation in radius and open reduction internal fixation in ulna with plating. The fractures were classified according to the AO/OTA system. The average follow up was 1 year (range 6 months – 18 months). Results: The average time to union was 12.77 weeks (10-14 weeks). Union was achieved in all 25 patients in both radius and ulna. Using the Grace and Eversmann rating system7 patients were excellent, 16 good, 1 acceptable and 1 unacceptable results. Using Andersons scale 23 patients had an excellent, 2 unsatisfactory, 0 failure. None of the patients had intraoperative as well as postoperative complications and no posterior interosseous nerve palsy occurred in any of case. Conclusion: Closed reduction internal fixation with use of Hybrid fixation modality in closed proximal radius and ulna fractures has good results. Rigid fixation by ulna plating and rotational stability in radius by large diameter square nail provides almost the same construct as with dual plating with minimal invasive approach. Complication rates are lower as compared to plate osteosynthesis especially with similar union rates in terms of posterior interosseous nerve palsy.
Authors and Affiliations
Dr. Rajat Tak, Dr. Sachin Joshi
Keywords
Related Articles
- EP ID EP483178
- DOI 10.22271/ortho.2018.v4.i1b.20
- Views 94
- Downloads 0
Functional evaluation of comminuted inferior pole patella treated by excision of comminuted fragment and trans-osseous fixation of patellar tendon using non- absorbable suture
Inferior pole fracture accounts for only 20% of surgically treated patellar fractures. The treatment option for inferior pole patella fracture is still being debated. In our study we treated comminuted inferior pole pate...
Assessing functional outcome using modified Harris hip score in patients undergoing total hip replacement
Introduction: Harris Hip Score (HHS) is used for assessing functional outcome in patients undergoing total hip replacement (THR). The present study aimed to assess patients who underwent THR for various indications with...
Accuracy of magnetic resonance imaging in diagnosis of knee injuries
Introduction: Apart from clinical examination multiple modalities (conventional radiography, MRI and arthroscopy) are currently used to evaluate knee injuries. This study is intended to compare the sensitivity and specif...
C2 dens fracture with closed cervical migration of a 6cm humeral fragment
Case: A 39-year-old woman, with bipolar disorder, suffered an eight-meter fall, resulting in dens and proximal and distal humeral fractures associated with migration of a 6cm humerus fragment to the left cervical region....
Management of fractures of proximal tibia by various treatment modalities: A study of 56 patients
Objectives: To compare the end results obtained after treating patients of proximal tibial fractures with various modalities Materials and Methods: This prospective study was carried out for patients treated by various m...