Volume : VI, Issue : I, January - 2017

STUDY OF FUNCTIONAL OUTCOME OF RADIUS ULNA TENS IN ADULTS.

Dr Tarkik K. Amin, Dr George Mathews, Dr Mahesh Parmar, Dr Vipul Leuva

Abstract :

 INTRODUCTION:Over the last 40 years, anatomic reduction with plate stabilization has become the standard in adult patients with diaphyseal fractures of the radius and ulna. When operative fixation has been indicated in skeletally mature patients with these fractures, a variety of techniques have been reported, with intramedullary fixation becoming increasingly accepted.

MATERIAL AND METHODS: There is currently significant variability in the treatment of adults with forearm fractures. The purpose of this study was to investigate the clinical and radiographic outcomes in the adult population after intramedullary fixation of both bone forearm fractures. A retrospective review identified 28 patients 18–65 years of age who had undergone intramedullary fixation of both forearm bones in the past 3 years at our institution. Galeazzi, Monteggia, radial head, and distal metaphyseal fractures were excluded. Radiographic evaluation was performed to determine union and postoperative radial bow. Clinical follow–up was carried out for postoperative complications and range of motion of the wrist, forearm, and elbow. The mean age of the patients was 37.54 years. A total of 24 fractures were closed injuries and 4 were open..

 RESULTS:Of the patients, 7.14% had limited postoperative range of motion.  A decrease in radial bow was not associated with limitation in motion. There was a 89.30% union rate.All union time was around 20weeks.eight minor complications occurred. one nonunion and one ulnar nail backout,three superficial infections and nail impingement in 2 patients, delayed union in one patient.

CONCLUSION:Flexible intramedullary nailing of both bone forearm fractures provides reliable bony union and excellent postoperative clinical results in adults

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Tarkik K. Amin, Dr George Mathews, Dr Mahesh Parmar, Dr Vipul Leuva, STUDY OF FUNCTIONAL OUTCOME OF RADIUS ULNA TENS IN ADULTS., International Journal of Scientific Research, Volume : 6 | Issue : 1 | JANUARY 2017


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