Indian Journal of Orthopaedics Surgery


Comparison of Intramedullary Nailing to Plating for Both-bone Forearm Fractures in Adult


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Author Details: Mohammed Khaja Nizamoddin Zamiruddin Khateeb, Mohammed Nazim Akbar

Volume : 3

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 135

Article End Page : 142


Abstract

Background: Plate osteosynthesis most commonly used technique for the treatment of both bone forearm fractures in adults. Plating can disrupt the periosteal blood supply. There are chances of refracture after implant removal. The purpose of this study was to assess early results of Nailing and Plating to stabilize the fractures and to compare the functional results of the two groups and to review the literature.
Methods: From May 2011 to September 2016 in the Department of Orthopaedics, MMCRI Mysore, Kamareddy Ortho & Trauma Care Hospital and ESIC MC Kalaburagi, total of 60 patients of both bones forearm fractures were treated. 30 were treated with plating and 30 with nailing.53 patients were available for the follow up. Follow up was for one year. Functional results were assessed by Anderson et al criteria.
Results: Average surgery time in plating group was 68 minutes, and 43 minutes in nailing group. Average union time for radius & ulna was 7.8 and 8 weeks in nailing group and 9.3 and 9.6 weeks in plating group. There was 1PIN palsy; 2 tourniquet palsy, 1 deep infection, 1 superficial infection, 1 implant failure, no delayed union and 3 non-unions in plating group. In nailing group no infection; two delayed union and no cases of nail migration. No synostosis, malunion, nail bending or cortical perforation.
Conclusion: We conclude that Plate osteosynthesis is the implant of choice for all diaphyseal fractures of both bones forearm. Intramedullary nailing is an attractive alternative. Complication rates are lower as compared to plating, application of above elbow cast after nailing is a drawback of the procedure.

Keywords:
Plate osteosynthesis, Intramedullary Nailing, Diaphyseal Fractures, Bothbone Forearm