IJSR - International Journal of Scientific Research

Dr Ashok Singhvi; Dr. Nitin Goyal; Dr Hemant Jain; Dr Kishore Raichandani; Dr Arun Vaishya

Volume : VIII, Issue : VIII, August - 2019

A RETROSPECTIVE STUDY OF CLOSED DIAPHYSEAL FRACTURES OF BOTH BONES FOREARM IN ADULTS TREATED WITH DIFFERENT MODALITISE

Dr Ashok Singhvi, Dr. Nitin Goyal, Dr Hemant Jain, Dr Kishore Raichandani, Dr Arun Vaishya

Abstract :

INTRODUCTION:–this study was conducted to evaluate the result of diaphyseal fractures of both bones forearm in adults treated with different modalities . METHOD:–In this retrospective study was conducted on 100 patients , who attended the Department of Orthopedics and Rehabilitation Research Centre, Dr S.N. Medical College, Jodhpur, Rajasthan, from a period of Feb. 2013 to Feuary 2018,to evaluate advantages and disadvantages, early and late complications, resuts and Epidemiology of diaphyseal fractures of both bones forearm in adults treated with different modalities . RESULT:–In our study out of 100 patients 78 were males and 54 had fracture due to indirect violence and majority of the patients were in the age group of 16–40 years with around 68% of the cases had fracture of the middle 3rd of the forearm bone. Out of these, 50 were treated by open reduction & small fragment DCP fixation, 30 patients were treated by open reduction and intramedullary fixation by Talwalkar‘s nail & 20 patients treated conservatively. Average time period for radiological union in cases treated by dyanamic compression plate was 9.4 weeks and for both closed reduction and I.M. nailing was 16 weeks. For assessment of our results we took grading by Hdden et criteria 1983. In our series we achieved results of plating is comparable with Hadden et al series but Nailing is inferior & closed reduction is further interior to nailing. CONCLUSION:– The important factor that emerged from the above study is that for functional end results to be excellent to good, plating is the best mode of treatment for fracture forearm bones as 82% excellent to good results had achieved and nailing also have comparable results as achievement of 76% excellent to good results but as patients treated by closed reduction had 40% poor results, so this method is not justifiable for treating the patients of diaphyseal fracture forearm bones.