Functional Outcome of Intra Medullary Titanium Elastic Nailing in Osteoporotic Diaphyseal Fracture of Both Bone Forearm

Sathiya Prakash, N (2020) Functional Outcome of Intra Medullary Titanium Elastic Nailing in Osteoporotic Diaphyseal Fracture of Both Bone Forearm. Masters thesis, Madurai Medical College, Madurai.


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INTRODUCTION: The forearm plays an important role in positioning of the hand in space by flexion and extension of the elbow and wrist as well as pronation and supination through the proximal and distal radioulnar joints. Fractures of the ulnar and radial shaft can therefore result in significant dysfunction if treated inadequately. Motor vehicle accidents account for an important fraction of forearm shaft fractures. It is estimated that 4% of restrained front seat passengers involved in a motor vehicle collision suffer a fracture of the upper extremity. In this setting, forearm fractures account for one quarter of upper extremity fractures, a fraction that is equal to that of wrist and hand fractures. The goal of treatment of diaphyseal fractures of both bones of forearm in adults is to regain length, axial and rotational stability. AIM OF THE STUDY: To analyse the outcome using minimally invasive tens nail in osteoporotic diaphyseal # of forearm fractures. OBJECTIVES: 1. To analyse the functional outcome in forearm fractures using titanium elastic nails in osteoporotic diaphyseal # of forearm fractures. 2. To assess the range of movements, functional outcome at 6 weeks, 12weeks, 18 weeks, 6 months and at One year. MATERIALS AND METHODS: The present study includes 30 cases of diaphyseal fractures of both bone forearm admitted in Government Rajaji Hospital, admitted to Madurai Medical College, between November 2017 to October 2020. OBSERVATION AND RESULTS: 30 patients of forearm fractures were treated surgically with TENS nail and analysed with an average follow up of 12 months. The Mean grace & eversmann score was 9.565. Based on that score, 56.6% (n=17) patients score was > 10 & were rated as excellent, 36.67% (n=11) were rated as good, 6.6 % (n=2) as fair and no cases had poor functional outcome. In our study, solid radiologic union was achieved in a mean duration of 18 weeks (16 to 24 weeks) for all patients. CONCLUSION: To conclude closed intramedullary titanium elastic nailing is the choice of implant for elderly osteoporotic individuals as it is Closed & Minimally invasive technique with Preservation of fracture hematoma, Less post operative morbidity, less infection, done as a day care procedure & chance of implant failure is also less.

Item Type: Thesis (Masters)
Additional Information: 221712107
Uncontrolled Keywords: Functional Outcome, Intra Medullary Titanium Elastic Nailing, Osteoporotic Diaphyseal Fracture, Bone Forearm.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 13 Feb 2021 15:16
Last Modified: 13 Feb 2021 15:16

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