A prospective study of surgical management of diaphyseal shaft fracture of bones of forearm in adults with limited contact dynamic compression plate

Abstract

Fracture of forearm bone are one of the most common injuries seen in day to day practice. The forearm, in combination with the proximal and distal radioulnar joints, allows pronation and supination movements that are important in the usual activities of daily living. The forearm serves an important role in upper extremity function. Decisive management is required after fractures of the shafts of the radius and ulna if function is to be restored. The Limited Contact Dynamic Compression Plate, was developed by Perren S. M. et to release the new concept of biological internal fixation. Grooves on the undersurface of the LC-DCP improved blood circulation. There is decreased damage to contact between plate and bone. It also allows for a small bone bridge beneath the plate at the most critical area, which is otherwise weak due to a stress concentration effect. This study is undertaken to assess the results of diaphyseal fractures of Bones of Forearm using LCDCP to study the advantages and its complications.Materials and Methods: Patients admitted to Cg Hospital and Bapuji Hospital between 2019 July to 2020 September were taken into the study after taking informed consent.Results: This study consists of 30 cases of fracture Both Bone Forearm Fractures. All cases were openly reduced and internally fixed with 3.5 mm LCDCP. Fracture was common in second and third decade. In our study, male preponderance was found with 73.3% males and 26.7% female patients. Side affected 24(80%) Left side and 6 patients (20%) right side. Mode of injury in the present study was RTA (33.3%) and fall (66.6%). An average time for union was around 5 months. Results were evaluated by Andersons scoring system. In present study, we had 24 patients (80%) with excellent results, 5 case (16.6%) as satisfactory and 1 case (2%) as unsatisfactory. No case needed refixation. In the present study there was 3 case (10%) of superficial infection, 1 case (3.3%) of Posterior Interosseous Nerve injury. Conclusion: LC-DCP can be considered the best mode of treatment for closed diaphyseal fractures of both bones forearm.