Abstract
Anatomical reduction and stable internal fixation continues to be the standard methods of treatment for fractures of both bones of the forearm. But there have been no investigations using validated subjective functional outcome instruments. We have therefore evaluated the outcome of patients treated by ORIF for such injuries by comparing subjective, validated outcome measures i.e. musculoskeletal function assessment (MFA) and the disabilities of the arm, shoulder and hand (DASH) scores. Out of 23 participating patients, (24 fractures), 14 were males and 9 were females. Mean follow-up was 30 months. The mean total MFA score was 19 17 (0 to 51). The two domains with the highest scores (suggesting poorest function) were mobility and coping.The mean DASH score was 12 10 (0 to 42). A strongly positive correlation was noted between the total MFA score and the DASH score.
Highlights
In treating diaphyseal fractures of radius and ulna, it is essential to regain length, apposition, axial alignment and normal rotational alignment to gain good range of pronation and supination.[1]
We have evaluated the outcome of patients treated by open reduction and internal fixation (ORIF) for such injuries by comparing subjective, validated outcome measures with the more commonly used objective measures
Those who had been treated by ORIF within one week of injury were eligible for inclusion
Summary
In treating diaphyseal fractures of radius and ulna, it is essential to regain length, apposition, axial alignment and normal rotational alignment to gain good range of pronation and supination.[1]. Imperfect treatment of fractures ofradius and ulna diaphyses leads to a loss of motion as well as muscle imbalance and poor hand function. Treatment by closed reduction and cast immobilization results in a poor functional outcome with unsatisfactory results reported in upto 92% of cases, usually caused by malunion, nonunion, or syntosis.[3]. Validated functional outcome instruments are used to evaluate a patient’s perceptions of their recovery from musculoskeletal injuries, but there have been no investigations using these instruments to assess the outcome in patients after treatment for fractures of both bones of the forearm.[4] We have evaluated the outcome of patients treated by open reduction and internal fixation (ORIF) for such injuries by comparing subjective, validated outcome measures with the more commonly used objective measures
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