DIAPHYSEAL FRACTURES OF ULNA AND RADIUS WITH SOFT TISSUE BREACH- OUR EXPERIENCE WITH SQUARE NAIL FIXATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 40
Abstract
BACKGROUND Fractures involving radius and ulna comprise a major part of commonly occurring fractures. They are commonly seen across all age groups. A nail which is having square like cut section can be held in a circular medullary canal with inherent stability offered by its design. Our study is to know how far square nail fixation for forearm fractures can give optimal results in different fracture patterns in soft tissue breaches. MATERIALS AND METHODS Our study is done to know the efficacy of the square nails in fixation of the fractures in the forearm. We have included 86 cases of fractures of radius and ulna in 68 patients. All these cases have sustained fractures along with soft tissue injuries in the plane of the surgery, in the volar and dorsal aspects of the forearm. RESULTS The average time taken by the fractures to show soft callus is 7 weeks from which time assisted movements are initiated. The segmental and comminuted fractures took more than average time to show callus, which is seen on an average at 9 weeks. CONCLUSION The square nails are useful for fracture fixation in fractures of forearm. The square nail insertion requires no or less soft tissue dissection. The cases in our study are showing callus formation in average time for the given fracture and pattern avoiding overriding, rotational deformities.
Authors and Affiliations
Anil Babu P, Narayana Rao V. V
Keywords
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- EP ID EP213303
- DOI 10.14260/Jemds/2017/690
- Views 72
- Downloads 0
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