Volume: 7 Issue: 1
Year: 2019, Page: 24-27,
Background: Forearm bone fractures are commonly encountered in today’s industrial era. Various treatment modalities were introduced from time to time and each of them had some edge over the previous one. Continuing this process of revolution and based on many years of experience with compression plating and promising results obtained with so called internal fixation. This present study is designed to determine the effects of surgical treatment of both bones forearm and single bone forearm fracture by open reduction and internal fixation with Dynamic Compression Plate.
Materials and Methods :: This is a prospective study of 30 patients with both bones forearm or single bone forearm fractures which were surgically treated with open reduction and internal fixation with DCP (Dynamic compression plate). Evaluation of patients was done on the basis of radiological union and functional assessment using Anderson et al scoring system.
Results:The mean age of the patient is 32.3 years (range 18-55) with 73% male preponderance. The mean follow up is 12 months (range 6-14 months). Out of 30 cases 54% middle third fractures, 13% proximal third and 33% lower third. Average union time was 8.46 weeks (range 8-12 weeks). The range of motion was determined by Anderson et al1, scoring system. Our series had 80% of excellent, 17% satisfactory result and 3% failure.
Conclusion:Based on our experience and results we conclude that with the use of 3.5 mm DCP for acute diaphyseal fractures of forearm, rigid and anatomical fixation can be achieved. Radial bowing is very important for normal supination and pronation. This can be maintained very well with compression plates. A minimum of 6 cortices should be engaged in each fracture fragment. It is better to use longer plates like a bridge plate in case of comminuted oblique fractures. Radius and Ulna are approached separately to avoid extensive soft tissue dissection and resulting complication.
Keywords: Dynamic compression plate, fractures, forearm, both bones forearm, DCP
1. L.D.Anderson,Sisk.D,Tooms.RE and ParkW.I Compression plate fixation in acute diaphyseal fractures of the radius and ulna J. Bone Joint Surg. Am., Apr1975; 57: 287.
2. Knight RA, Purvis GD. Fractures of both bone forearm in Adults. J Bone Joint Surg Am 1949;31:755-64.
3. Leung F, Chow SP. Locking compression plate in the treatment of forearm fractures: A prospective study. J OrthopSurg (Hon Kong) 2006;14:291-4.
4. GW Bagby. Compression boneplating: historical considerations. J Bone Joint Surg Am 1977;59:625-631.
5. Chapman MW, Gorden JE, Zissimos AG. Compression plate fixation of acute fractures of the diaphyses of the radius and ulna. J Bone Joint Surg Am 1989;71:159-69.
6. Hertel R, Pisan M, Lambert S, Ballmer FT. Plate osteosynthesis of diaphyseal fracture of the radius and ulna. Injury 1996;27:545-8.
7. Smith H, Sage F.E. Medullary fixation of forearm fractures. J.B.J.S 1957; 39A: 91.
8. Chapman MW, Gordon JE, and Zissimos AO Compressionplate fixation of acute fractures of the diaphyses of the radius and ulna. J. Bone Joint Surg.Am Feb 1989; 71: 159 - 169.
9. William j. Larsen; human embryology 1 edition; page 281- 286.
10. K. Talwalkar. Treatment of simple fractures of radius and ulna with internal fixation without external support. Singapore medical journal 1967; Vol 8, No 3: 2-32.
11. Dodge, Herbert S and Gerald W. Cady, Treatment of fractures of the radius and ulna with compression plates. J Bone Joint Surg 1972; 54-A(6): 1167-1176.
12. Rigidfixation with early motion. J Bone &. Joint surg 1980.68-A: 43-438.
Pushkarna Vishal. Role of dynamic compression plate in management of both bones forearm fractures. Perspectives in Medical Research 2019; 7(1):24-27.