Volume : 5, Issue : 4, April - 2016

A STUDY TO EVALUATE CLINICAL OUTCOME OF DIAPHYSEAL FRACTURES OF FOREARM BONES TREATED WITH INTRAMEDULLARY NAIL OR PLATES IN ADULTS

Dr. Gaurav Vala, Dr. Soham Chachcha

Abstract :

<p>&lt;p&gt;&amp;lt;p&amp;gt;&amp;amp;nbsp;1. BACKGROUND: Plate is the most commonly used technique for the treatment of diaphyseal forearm fractures in adults. Application of plate disrupts the periosteal blood supply and necessitates skin incision that may be unsightly. The purpose of this study was to assess the early results of the use of closed intramedullary nail to stabilize displaced diaphyseal fractures of forearm bones. 2. AIM : 1.To evaluate the results of internal fixation of diaphyseal fracture of forearm bones forearm treated by plate and intramedullary nailing. 2. To compare the functional results of plating and intramedullary nailing. 3. METHODS: In Department of Orthopaedics , C U SHAH medical college and Hospital, Surendranagar, total of 50 cases of forearm bone fractures were treated. 25 patients were treated with plate and 25 patients with intramedullary nailing. Total 50 patients were available for the follow up. Functional results were assessed by Anderson criteria in closed nailing group both radius and ulna resulted in 100% union rate. In plate group there was 1 deep infection, 0 implant failure, and 2 non-union. Functional results in plate group were excellent in 20 (80%) of patient, satisfactory in 4 (16%), failure in 1 (4%). There was no unsatisfactory result in this group. In closed nailing group result were excellent in 17 (68.7%), satisfactory in 6 (24.8%), unsatisfactory in 2 (6.2%) and no failure. 4. CONCLUSIONS: Closed intramedullary nailing is not superior to plate fixation but can be considered as an alternative to that method for diaphyseal fo. 5. RESULTS: Average surgery time in plate group was 68 minutes, and in nailing group was 43 minutes. Plate group showed union in 23 (93.2%) patients rearm fractures in adults.&amp;lt;/p&amp;gt;&lt;/p&gt;</p>