Abstract
Introduction: Fractures of the forearm bones are not uncommon and every orthopedic surgeon has his share in treating these cases. The general consensus in the treatment of fractures of both bones forearm in adults is operative and there are various modes of internal fixations available, the choice of which rests on the treating surgeon. No matter what the implants are used the goal is to obtain sound union with excellent functional outcome and early mobilization. The aim of this paper is to demonstrate the combination of ulnar nailing and radial plating in the management of fractures both bones of forearm.
Materials and method: We are presenting our series of 237patients with fractures of both bones forearm during the period 1995 to 2000 treated ulna with Talwarkar’s square nail and radius -AO narrow DCP. Under G.A / brachial block first retrograde ulnar nailing with minimal exposure and minimal periosteal stripping followed by radial plating through Thompson’s approach… We followed a uniform operating technique and the post-operative protocol of A. E.pop slab/cast for 4 weeks and functional cast for next 4 weeks and radiological review after 3,12 months The implants are removed at average of 15 months
Result: 98.2% cases had bony union in our series, 2 cases had ulna hypertrophy non-union, 2 delayed union, which were managed with immobilization in cast for 3 months. There was nail breakage in 2 cases due to fall, olecranon bursa in 10 due to irritation by the nail and superficial infection in 7 cases was managed with antibiotics.The fixation with ulna nailing and radial plating has average operating time of 35 minutes. We have removed implants from 125 cases after bony union.
Conclusion: There is a recent emphasis on the concept of undreamed solid nailing, which preserves the biology enhances fractures healing and reduces wound infection.
The reduced operation time, economic implant, least periosteal stripping, least blood loss and subsequent easy implant removal are the advantage of this procedure.
The abstracts were prepared by Professor Jegan Krishnan. Correspondence should be addressed to him at the Flinders Medical Centre, Bedford Park 5047, Australia.
