Diaphyseal Fractures Of Radius Research Articles

English

INTRODUCTION: According to the AO (Arbeitsgemeinschaft fur Osteosynthesefragen) documentation center, forearm fractures accounts for 10-14% of all fractures. Various treatment modalities are available depending upon the fracture type. In this study 20 patients with diaphyseal fractures of both bones forearm were studied and treated with Intramedullary L-rods by closed technique. All these cases were treated at our institution from July 2012 to Jun 2013. The minimum duration of follow up was 6 months. AIMS & OBJECTIVES: 1) to find the effectiveness of intramedullary L rods over other alternative methods 2) to evaluate functional and anatomical outcome based on clinical and radiological follow up. 3) To evaluate the difficulties associated with this technique and suggestions to overcome it. MATERIALS & METHODS: Through assessment of the patient including clinical examination of the injury, systemic examination, ruling out other injuries and radiological assessment was done before deciding on the surgical procedure. Sample size: 20 patients satisfying the following criterion. Inclusion criteria 1) Age>17yr 2) Diaphyseal fractures of radius and ulna. 3) Closed fractures and gustilo Anderson type 1 and 2 fractures Exclusion criteria 1) Fractures >4 weeks old. 2) Pathological fractures, gustilo Anderson type 3 open fractures and associated epiphyseal radius and ulna injury. STATISTICAL ANALYSIS: The final results were based on Clinical and radiological assessments i.e. entry point wound status and migration of nail, pain and tenderness at the fracture site, range of movement of elbow and wrist, limb length disparity, three cortices union, callus formation with reference to time, Implant status and varus/ valgus angulation. Functional outcome was assessed using Grace and Eversman scoring system. RESULTS & CONCLUSIONS: CLOSED REDUCTION AND INTERNAL FIXATION WITH INTRAMEDULLARY L -RODS is an easy and fast method for treating forearm fractures with minimal blood loss and scar. Full range of movements was achieved without any significant complication.

Long-Term Outcome of Isolated Diaphyseal Radius Fractures With and Without Dislocation of the Distal Radioulnar Joint

We tested the hypothesis that there are no differences between apparently isolated fractures of the radial diaphysis and isolated fractures of the radial diaphysis with concomitant dislocation of the distal radioulnar joint (DRUJ) in function, disability, and DRUJ stability more than 13 years after near-anatomic open reduction with plate and screw fixation. We evaluated 17 adult patients with a diaphyseal fracture of the radius without a fracture of the ulna an average of 19 years after surgery (range, 13-33 y). Of these patients, 7 had concomitant dislocation of the DRUJ (Galeazzi fracture). At the long-term follow-up, we evaluated function with several composite scores, stability of the DRUJ, and arm-specific disability by using the Disabilities of Arm, Shoulder, and Hand questionnaire. The average scores were 96 (range, 85-100) on the Mayo Modified Wrist Score, 95 (range, 80-100) on the Mayo Elbow Performance Index, and 5 (range, 0-33) on the Disabilities of Arm, Shoulder, and Hand questionnaire. There were no significant differences between patients with and without DRUJ dislocation. No patients had greater laxity of the DRUJ than the opposite uninjured side. Near-anatomic open reduction and internal fixation of diaphyseal radius fractures with and without associated DRUJ dislocation have comparable long-term results.

Minimally invasive application of a radial plate following placement of an ulnar rod in treating antebrachial fractures

To describe a surgical technique for placement of a minimally invasive radial plate following application of an ulnar rod (MIPR) for treatment of antebrachial fractures. Medical records (November 2005-June 2009) were searched to identify dogs with diaphyseal radius and ulna fractures stabilised by MIPR. Data retrieved included signalment, weight, limb affected, cause of injury, open versus closed fracture, number of fragments, implant size, number of screws used and cortices engaged, number of open screw holes, operative time, rod removal, complications and time to radiographic healing. To be included, dogs had to have evidence of radiographic healing during follow-up. Eight dogs with diaphyseal radius and ulna fractures treated with MIPR were included in the case series. All fractures were due to trauma and two fractures were open (grade 1). Rod loosening and osteomyelitis of the ulna occurred in one case which subsequently resolved with rod removal. Healing occurred in all cases with no implant failures. Median time to radiographic union was 10.5 weeks (mean ± SD = 17 ± 15 weeks; range 4-52 weeks). Use of MIPR constructs on diaphyseal fractures of the radius and ulna is an effective technique for managing these fractures using principles of biological osteosynthesis. An intramedullary rod in the ulna assists with fracture reduction and stabilisation and rod removal is recommended once fracture healing has occurred.

The Limited Dynamic Compression Plate Fixation In Acute Diaphyseal Fractures Of The Radius And Ulna – A Prospective Study

Aim: The aim of the present study is to evaluate the results of diaphyseal fractures of forearm bones treated by limited contact dynamic compression plating. Materials and methods: Twenty five patients with displaced diaphyseal fractures (closed and type1 compound) of forearm bones, both radius and ulna were managed by open reduction and internal fixation with limited contact dynamic compression plating (LC-DCP) from June 2003 to December 2005 with an average follow up of 18 months. There were 20 males and 5 females with a mean age of 32.9 years. The average interval from injury to surgery in our series was 5.8 days (3-16days). Road traffic accident was the most common mode of injury (64%). Pathological fractures were excluded. Average time of union was 13.6 weeks, 1 fracture united at the end of 28 weeks. Results: Complete radiological and

Isolated Diaphyseal Fractures of the Radius in Skeletally Immature Patients

Diaphyseal radius fractures without associated ulna fracture or radioulnar dislocation (isolated fracture of the radius) are recognized in adults but are rarely described in skeletally immature patients. A search of our database (1974-2002) identified 17 pediatric patients that had an isolated fracture of the radius. Among the 13 patients with at least 1year follow-up, ten were treated with manipulative reduction and immobilization in an above elbow cast and three had initial operative treatment with plate and screw fixation. These 13 patients were evaluated for an average of 18months (range, 12 to 45months) after injury using the system of Price and colleagues. The incidence of isolated diaphyseal radius fractures in skeletally immature patients was 0.56 per year in our database and represented 27% of the 63 patients with a diaphyseal forearm fracture. All 13 patients, with at least 1year follow-up, regained full elbow flexion and extension and full forearm rotation. According to the classification system of Price, all 13 patients (100%) had an excellent result. As in adults, isolated radius fractures seem to occur in children more frequently than previously appreciated. Treatment of isolated radius fractures in skeletally immature patients has a low complication rate, and excellent functional outcomes are the rule.

Ipsilateral Diaphyseal Fractures of Radius, Ulna and Radial Head: Case Report

Ipsilateral Diaphyseal Fractures of Radius, Ulna and Radial Head: Case Report

A displaced fracture of the neck of the radius with diaphyseal fracture of ipsilateral radius and ulna in a child

A fracture of the neck of radius in children is relatively rare. The outcome is dependent not only on the injury but also on the method of treatment and presence of associated injury. We report a case of fracture of the neck of radius with complete separation of radial head associated with ipsilateral diaphyseal fractures of radius and ulna. The fracture of the neck and the shaft of the radius was treated by closed intramedullary Kirschner (K) wire, while fracture of shaft of the ulna was fixed internally by a plate and screws.