Functional outcome of dynamic compression plating and intramedullary nailing of diaphyseal fracture of both bones forearm

Abstract

Background: Excellent results for plate fixation in displaced diaphyseal fractures of both bone of forearm have been reported by various authors, but only a few authors have focused on plate fixation in the management of open diaphyseal fractures of both the radius and ulna. Aim: This present study is aimed to assess the functional outcome of dynamic compression plating and intramedullary nailing of diaphyseal fracture of both bones forearm. Methods: This series consists of 50 cases of fracture both bone of forearm by open reduction and internal fixation with dynamic compression plate, closed reduction with intramedullary nailing by TENS between the period of 2 years at a tertiary care hospital after obtaining the clearance by the hospital ethical committee. Of the above cases 25 patients were treated by open reduction and internal fixation with dynamic compression plate and 25 cases were treated with closed reduction and internal fixation with TENS. Results: Even though, plate osteosynthesis is still the most commonly used form of fixation in adult both bone forearm fractures, both titanium elastic nail and interlocking nail fixation are relatively newer techniques which offer a viable and more efficient alternative especially in fixation of fractures involving shafts of radius and ulna. Conclusions: Increased incidence of forearm fractures was probably due to increasing road traffic accidents and fall. Forearm fractures occurs more commonly in second and third decade. Male predominance was seen. Open reduction and internal fixation can be considered as the treatment of choice if there is no contraindication. It is important to maintain length, opposition, axial alignment, and rotational alignment in order to restore good range of movement of forearm. This is achieved in the present study.