Fractures of both bones forearm: A Comparative study on fixation techniques and functional outcome between intramedullary nailing and plate osteosynthesis

Nithyananth, S (2015) Fractures of both bones forearm: A Comparative study on fixation techniques and functional outcome between intramedullary nailing and plate osteosynthesis. Masters thesis, Madurai Medical College, Madurai.

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Abstract

BACKGROUND AND OBJECTIVES: In the current era of industrialization, and with mechanized farming in India, fractures of forearm bones have become more common. The forearm serves an important role in the functioning of the upper extremity. Hence aggressive management becomes essential .The purpose of this study was to evaluate subjective and functional outcome after osteosynthesis of the forearm fractures with plates and screws ( ORIF ) or Elastic nailing (CRIF). METHODS: We evaluated 20 patients who underwent internal fixation of forearm fractures with CRIF( 10 patients) or ORIF ( 10 Patients), concerning the Range of motion of forearm , elbow and a validated outcome measure.( Modified Grace Eversmann scoring system) and standardized radiographs of the forearm were evaluated. We used CHI square test to evaluate the results. RESULTS: There was a statistically significant difference in the final outcome in patients undergoing ORIF with Plate and CRIF with Titanium elastic nail, with better functional outcome in the latter. However the risk of non union and reintervention was not different between the groups. CONCLUSION: Forearm bones fractures are associated with high rates of consolidation and satisfactory mobility of the forearm since we obtain an anatomic reduction of the fracture, as is most easily achieved by plate fixation. However Elastic nailing is a less invasive technique that allows restoring function more quickly with less pain and no increased risk of complications.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Fractures of both bones forearm ; Comparative study ; fixation techniques ; functional outcome ; intramedullary nailing ; plate osteosynthesis.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 25 Sep 2017 02:09
Last Modified: 25 Sep 2017 16:27
URI: http://repository-tnmgrmu.ac.in/id/eprint/3314

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