Internal fixation of fracture both bone forearm: Comparison of dynamic compression plate and IM nail

Abstract

Open reduction and internal fixation can be considered as the treatment of choice if there were no contraindications for this because it is important to maintain length, opposition, axial alignment and rotational alignment if a good range of movement of forearm is to be restored. This is achieved in the present study. Anatomical reduction and internal fixation of forearm fractures can facilitate restoration of function. Any axial or rotatory malalignment or any narrowing of interosseous space produces disproportionate loss of pronation and supination. In addition proximal and distal radioulnar joints do not function properly if there is significant shortening of either bone. 50 cases of fracture both bones forearm were attended in the casualty and OPD and admitted in the hospital were treated by open reduction and internal fixation with Dynamic Compression Plate and Intramedullary nailing by Square nail. The study was conducted between June 2016 to May2017 at Pravara Rural Hospital, Loni. 25 cases were treated by open reduction and internal fixation with dynamic compression plate, and 25 cases were treated with closed or open reduction and internal fixation with IM nails. Most common age group recorded in our study 20-30 (46%), and 32 (64%) cases are Male and 18 (36%) cases are Female. Anderson Scoring System 25 cases of DCP 76% were excellent, 24% were satisfactory and 25 cases of Intramedullary nailing with square nails 56% were excellent, 16% were satisfactory, 20% were unsatisfactory, 8% had failure results. Open reduction and plating fixation of fracture both bone forearm are better than intramedullary nailing. To conclude DCP offers excellent results in displaced diaphyseal fracture of forearm bone in adults and to be considered as first line of management.