A Prospective Study Of Surgical Management Of Diaphyseal Fractures Of Both Bones Of Forearm Using Limited Contact Dynamic Compression Plate

Abstract

BACKGROUND AND OBJECTIVES: The forearm has a unique surgical anatomy and this leads to problems in treatment of forearm fractures such as achieving primary osseous union and restoration of normal function. Open reduction and internal fixation with a plate is the treatment of choice. This study is to analyse the functional outcome of ORIF with LC DCP in diaphyseal fracture of forearm in adults. METHODS: The present study includes treatment of 28 cases of fracture of both bones of forearm with 3.5 mm LC-DCP between October 2013 and April 2015 at the Department of Orthopaedics in B.L.D.E.A’s Shri B.M.Patil Medical College, Hospital and Research Center, Vijayapur. Adults, both males and females above the age of 18 were included in the study whereas patients medically unfit for surgery were excluded. RESULTS: In our study, fixation of fracture of both bones of forearm with LC-DCP showed excellent results and functional outcome (75%) with very less complications. CONCLUSION: Open reduction and internal fixation of fractures of both bones of forearm with a 3.5mm LC-DCP is an excellent choice as it provides stable fixation and good compression at fracture site. Adherence to principle of fracture fixation, strict asepsis and early rehabilitation are key to early functional recovery while treating these fractures. KEYWORDS: Open reduction and internal fixation, limited contact dynamic compression plate, fracture of both bones of forearm