English

Abstract

BACKGROUND: Forearm represent a critical anatomic unit of the upper limb, permitting the effector organ of the upper limb, the hand, to perform multi axial daily activities of living conservative reduction of fracture BBFA results in a poor functional outcome, non-union, mal-union rotational deformity. Hence perfect reduction is essential in maintaining the rotation (supination and pronation). This is achieved by ORIF using LC-DCP. The term LC-DCP stands for a new approach to plate fixation, reduced trauma to bone, preservation of blood supply, avoidance of stress raisers produced at implant removal and improved healing. This study is undertaken to assess the results of diaphyseal fractures of BBFA using LCDCP to study the advantages and its complications. MATERIALS AND METHODS: Patients who are admitted tin Victoria and Bowring & Lady Curzon Hospitals (Bangalore Medical College) taken for study after obtaining their consent. This is prospective study from January 2004 to February 2006. RESULTS: This study consists of 20 cases of fracture BBFA. All cases were openly reduced and internally fixed with 3.5 mm LCDCP. Age distribution ranged from 18-65 years with fracture being most common in 2 nd and 3 rd decade (Average 34.6). Sex distribution out of 20 patients, 17 patients (85%) was male and 3 (15%) female. Side affected 13 (65%) left side and 7 patients (35%) right side. Mode of injury RTA 10 (50%), 8 (40%) with fall 2 (10%) assault. 18 (90%) patient s had sound union in less than 6 months, 2 (10%) patients had delayed union. Results were evaluated by Andersons scoring system. Using this scoring system we had 17 (85%) patients with excellent results. 2 (10%) patients with satisfactory results and 1 (5%) with unsatisfactory result (radioulnar synostosis). Superficial infection 2 (10%) posterior interosseous nerve injury 1 (5%) Radioulnar synostosis 1(5%). CONCLUSION: LC-DCP facilitates biological, rigid fixation and early bone union with excellent radiological and functional outcome in majority of the patients. Until newer implants are devised and extensively assessed as the versatile LC-DCP these should be used as the implant of choice for all closed displaced diaphyseal fractures of both bones.