Fractures of the radius and ulna in adults: An analysis of factors affecting outcome

Abstract

Authors in group collected the data for fracture of the shaft of radius and ulna in 80 adult patients. Study Period: 1st October 2014-1st October 2017 The aim of the study was to determine relationship of the subjective, objective and radiographic method of treatment. The type of fractures, both open and closed, grade of communition and other injuries were assessed in patients in term of degree of pain, rotation of forearm and return to the same work following injury and the patients treated with ORIF and plate fixation were having better result in all aspect assessed than closed reduction and plaster cast. Factor most often associated with return to same work after injury are better with ORIF (Open reduction and internal fixation). Longer time for union and higher rate of infection were the only disadvantages of ORIF over closed reduction, otherwise outcomes were same for both the methods. Presence of other injuries often compromise the end result because of more pain , greater forearm rotation loss and decline in return to same work. The satisfaction and work status in assessment of outcome, concept of functional malunion, interpretation of radiographic finding should help in counselling the patient as to economic and functional impact of these injuries. Keywords: Fracture radius-ulna open reduction with plate fixation, Closed reduction with nailing.