Prospective study of management of closed diaphyseal fracture of radius and ulna with dynamic compression plate

Dr. Alpesh Choudhary; Dr.Alfven Vieira; Dr.Ashok Ghodke; Dr.Shwetabh Malik; Dr. Akhil Joshi

Volume : V, Issue : XI, November - 2016

Prospective study of management of closed diaphyseal fracture of radius and ulna with dynamic compression plate

Dr. Alpesh Choudhary, Dr. Alfven Vieira, Dr. Ashok Ghodke, Dr. Shwetabh Malik, Dr. Akhil Joshi

Abstract :

Objective– To study the mechanism of injury of diaphyseal fractures of radius and ulna and study principles of dynamic compression plate and assess the rate of fracture union, its complication and to evaluate the postoperative function of the forearm following dynamic compression plating. Material and methods– 40 patients with forearm fracture who were treated with Open Reduction and Internal Fixation with Dynamic Compression Plating. The patients were evaluated based on "Anderson et al� scoringsystem. Elbow movements and wrist movements were noted and the union was assessed radiologically. Results– In 40 patients mean age is 34.43.Out of 40 patients, for 23 (58%) patients, the time of union was less than 10 weeks, for 8 (20%) patients, the time of union was between 10–14 weeks, for 6 (15%) patients, the time of union was 14–18 weeks and for 3 (8%) patients, the time of union was more than 18 weeks. For all 40 patients included in study, the average time of union was 11.75 weeks (SD = 3.643 weeks) with minimum 8 weeks and maximum 20 weeks.Out of 40 patients included in study, 34 (85%) shown excellent wrist movement whereas 6 (15%) showed satisfactory wrist movement. 34 (85%) patients showed excellent pronation supination and 6 (15%) showed satisfactory pronation supination. Out of 40 patients, 34 (85%) showed excellent results whereas 6 (15%) showed satisfactory results. Conclusion– With rigid/anatomical internal fixation, dynamic compression plate is a good fixation for displaced diaphyseal fractures of the forearm bones.