Abstract
Sisli Etfal Egitim ve Arastirma Hastanesi 2. Ortopedi ve Travmatoloji Klinigi Objectives: This study sought to determine the most approapriate osteosynthesis material in the treatment of adult forearm fractures. Methods: A total of 55 patients (46 males, 9 females; mean age 31.5 years) underwent surgery for adult forearm fractures. According to AO/ASIF classification, most were type A3 fractures (56.3%). Treatment included plate-screw osteosynthesis (77.2%), intramedullary fixation (21.8%) and external fixation (1%). Mean follow-up was 22 months (range 4 months-9 years). Results: The union rates were 94.5% and 96.4% for radius ulna, respectively. According to Anderson’s criteria, results were excellent in 39 cases (70.9%), satisfactory in nine cases (16.4%), unsatisfactory in five cases (9.1%), and poor in two cases (3.6%). Conclusion: The results showed that dynamic compression plates can be preferred initially in adult forearm diaphyseal fractures, with consideration given to the type of fracture, bone nature and the patient’s age.
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