ID Design 2012/DOOEL Skopje, Republic of
Macedonia
Open Access Macedonian Journal of Medical Sciences.
http://dx.doi.org/10.3889/oamjms.2016.138
eISSN: 1857-9655
Clinical Science
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Diaphyseal Fractures of the
Forearm in Adults, Plating Or Intramedullary Nailing Is a Better Option for
the Treatment?
Tabet A. Al-Sadek1*, Desislav Niklev2,
Ahmed Al-Sadek3
1Department of Orthopaedics and Traumatology, Belhoul European
Hospital, Dubai, United Arab Emirates; 2Trakia University,
Faculty of Medicine, Stara Zagora, Bulgaria; 3Medical University,
Sofia, Bulgaria
BACKGROUND: Fractures of the radius and ulna occupy a large field of
the modern traumatology. Therefore, these fractures are a major subject in
modern orthopaedics and traumatology. The study of the mechanisms of the
trauma, and the pathophysiological changes that occur are of great
importance for the development of ever more efficient and varied ways of the
treatment and prophylactics of this type of fracture.
AIM: The aim of this paper was to study the pattern of the diaphyseal
fractures of the forearm in adults, to decide the modalities of surgical
management, to observe the period of fracture healing clinically and
radiologically, as well to study the rehabilitation of the patients.
MATERIAL AND METHODS: The present study included 45 cases of
diaphyseal fractures of both bones forearm in adults presenting to the
orthopaedic outpatient department. For all the patients a detailed history
was taken. A thorough clinical examination was carried out, required X-rays
were taken, and initial treatment was given and admitted as in all patients.
After careful pre-operative planning and evaluation for anaesthetic fitness,
patients were operated for the fractures of both bone forearms. Twenty-three
cases with 46 fractures were treated by open reduction and rigid fixation
with DCP & Semi-tubular plates and 22 cases with 44 fractures were treated
by closed reduction and fixation with “Talwarkar” intramedullary square
nails.
RESULTS: United results were found in 100% of plating group vs. 86%
in the nailing group. Delayed and non-union results were found in 9% of the
nailing group only. Average time to union in weeks was 9.4 weeks in the
plating group vs. 10.2 weeks in the nailing group.
CONCLUSION: Open reduction and internal fixation with compression
plates with strict adherence to surgical technique is the gold standard
method of treatment in both bones forearm fractures with excellent results
than closed reduction, internal fixation with “Talwarkar” square nails which
is also again a simple method with better results than conservative methods.
..................
Citation: Al-Sadek TA, Niklev D, Al-Sadek A.
Diaphyseal Fractures of the Forearm in Adults, Plating Or Intramedullary
Nailing Is a Better Option for the Treatment? Open Access Maced J Med Sci.
http://dx.doi.org/10.3889/oamjms.2016.138
Keywords: diaphyseal fractures of the forearm; plating;
intramedullary nailing.
*Correspondence: Tabet Al-Sadek, MD, PhD. Belhoul European Hospital,
Dubai, United Arab Emirates. Mobile: +971551503964. E-mail: drthabet@abv.bg
Received: 09-Sep-2016; Revised: 09-Oct-2016; Accepted: 11-Oct-2016; Online
first: 24-Nov-2016
Copyright: © 2016 Tabet A. Al-Sadek, Desislav Niklev, Ahmed Al-Sadek.
This is an open-access article distributed under the terms of the Creative
Commons Attribution-NonCommercial 4.0 International License (CC
BY-NC 4.0).
Funding: This research did not receive any financial support.
Competing Interests: The authors have declared that no competing
interests exist.
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