Title: Comparison of Various Modes of Fixation in Fracture Shaft of Both Bones Forearm

Author: Dr Jose Francis. C

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i6.139

Abstract

The Study compares the outcomes of fracture shaft of both bones forearm treated by either intra medullary nailing  or dynamic compression plating.

Objectives: To compare the functional outcome of 2 different conventional treatment modalities for fracture shaft of both bones forearm. 

Materials and Methods: This was a prospective study of 40 cases at Government Medical College, Thiruvananthapuram. 20 patient were treated by dynamic compression plating (group A) and 20 patient by intra medullary nailing  (Group B) Results were compared by clinico radiological and functional assessment.

Result: Dynamic compression plating gave consistently superior results when compared to intra medullary nailing. 

Conclusion: Dynamic compression plating gave more anatomical restoration of fracture fragments and resultant better functional results.

Keywords: Dynamic compression plating, endosteal  union, rotational alignment.

References

1.      Anderson L.D., Compression plate fixation and the effect of different types of internal fixation of fracture healing JBJS 47 A, P. 191-208.

2.      Burwell H.N., Charnley D.A., Treatment of forearm fractures with particular reference of plate fixation. JBJS 46 B, P. 404.

3.      Crenshaw A.H., Campbells operative  orthopaedics 7th edition. P. 1555-1580.

4.      Crawford Adams, Internal fixation of fractures of shaft of both bones of forearm JBJS 49 B, P. 391.

5.      Even E.M., Rotational deformity in the treatment of fractures of both  bones of forearm JBJS 27 A, P. 373.

6.      George. D. Purvis, Fracture both bone forearm in adults. JBJS 31 a, P. 755.

7.      Heppenstall, Fracture treatment and healing, P. 106.

8.      Kare. U., Rotational movements and bony union in shaft fractures of forearm JBJS 44 B, P. 340.

9.      Muller M.E., Allgower.M., Willeneger. H., Manual of internal fixation 2nd edition.

10.  Patrick.J., A study of supination and pronation with special reference to the treatment of forearm fractures. JBJS 28B, P. 737-748.

Talwalkar A.K., Internal fixation without external support for fractures of radius and ulna. JBJS 49 B, P. 391. 

Corresponding Author

Dr Jose Francis. C

Additional Professor, Department of Orthopaedics

Government Medical College, Thiruvananthapuram