Is it Possible to Achieve Satisfactory Results With Intramedullary Locking Nails In Adult Forearm Fractures ?

Abstract

Objectives Plate osteosynthesis is the most commonly used surgical method in the treatment of diaphyseal forearm fractures in adults. Intramedullary nailing (IMN) is an easy surgical alternative for treating these fractures. In the present study we discussed the minimum 2 year follow up results of intramedullary nailing for the management of forearm fractures in a secondary trauma center. Methods A retrospective analysis of patients operated for adult forearm fractures, using intramedullary locking nails, between 2013 and 2015 in a secondary trauma center was performed. Patient demographics and clinical characteristics were retrieved from the hospital database. The union rates and complications were also recorded. Results Twenty nine patients (22 M 7 F) with mean age 29.4 years (range: 19 and 51) were included into the study. Mean follow up time was 26.8 months (range: 24 and 36). Twenty one patients had fracture of both bones, 4 had isolated ulna and 4 had isolated radius fractures. There were 2 open fractures. Average clinical healing time was approximately 20 days and radiologic healing time was 40 days. One patient with an open fracture underwent revision with plate screw fixation due to union delay. Patients improved in terms of health related quality of life questionnaire scores. Conclusion The intramedullary locking nail is a suitable treatment method for the surgical treatment of forearm fractures, and can be an alternative to open reduction and internal fixation with plate screw constructs when the patients can not undergo open surgery due to different factors.