Outcome of Close Diaphyseal Fracture of Both Bones Forearm in Adult Treated by Well Fitting Intramedullary (Square) Nail & Dynamic Compression Plate: A Comparative study

Abstract

Background: The achievement and maintenance of reduction of diaphyseal fractures of forearm are hindered by deforming muscular forces. The aim of this study to compare the results of close diaphyseal fracture of both bones forearm in adult treated by well-fitting intramedullary (square) nail & dynamic compression plate. Material & Methods: The present study comprised of 60 patients with close fracture both bones forearm belonging to either sex of adult age group, treated in the department of orthopedics, Dr. B. R. Ambedkar Medical College, Bengaluru, Karnataka, India. All 60 cases included in this study underwent clinical and radiological examination at the time of admission; and type, site, displacement, rotation and angulation of fractures were determined. At follow up examination interval between injury & this examination was recorded & than clinical & radiological examination were carried out. Results: The present study showed that the mean age of patients was 35 yrs, male to female ratio was 3.6:1 and right side were more common as compared to left side, mostly patients had indirect injuries (55%). comparison of functional end result between Hadden et al4 different modalities of treatment and of our present study. Results of plating is comparable with Hadden et al4 sereis but Nailing is inferior. Conclusion: We concluded that functional end results to be excellent to good, plating is the best mode of treatment for fracture forearm bones as 83% excellent to good results had achieved but nailing also have comparable results as achievement of 76% excellent to good results.