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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

 

 

 

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

 

Abstract

 

 

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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Published by: ID Design Press, part of the ID Design 2012/DOOEL Skopje, Republic of Macedonia


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.