Functional Outcome of Plating versus Nailing in Adult Midshaft Radius-Ulna Fractures
Journal Title: Journal of Contemporary Medicine and Dentistry - Year 2017, Vol 5, Issue 2
Abstract
Objectives: Study regarding mode of injury and restore anatomical alignment. Comparison of various functional parameters among study group post-operatively. Methods: Study was conducted by collecting data of 90 adult cases of either sex with mid-shaft radius ulna fractures among them 45 underwent plating while rest 45 cases underwent nailing and followed for 6 months post-operatively for assessment of functional outcome in form of pain, tenderness, stiffness, grip strength, pain while weight bearing. Results: Complication rate was less in plating (13.33 Percent) as compared to nailing, which was (26.66 Percent). The average period for immobilization was less in plating (2-4 weeks) as compared to nailing (4-6weeks). Conclusions: Open reduction and internal fixation with plating remains the treatment of choice in most of the forearm fractures. Well-contoured intramedullary nail system is not superior to plate fixation but can be considered as an alternative to that method for selected diaphyseal fractures of the forearm in adults.
Authors and Affiliations
Ashish Agarwal, Prashant N. Gedam, Hiren B Patel, Rajendra Phunde, Anuj Bharuka
Keywords
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