Outcome assessment of management of fractures of the radius and ulna in adults using two different techniques
A retrospective study
Keywords:
fractures, radius, ulna shaft, plate, nailAbstract
Aim: To determine relationship between subjective, objective and radiographic outcome of two different method of treatment of fracture radius and ulna. Material & Methods: The present comparative study was carried out among 30 patients in the department of Orthopaedic, Indira Gandhi Institute of Medical Science, Patna, Bihar, India, for the period of 4 years after taking the informed consent and ethical approval from the concerned ethics committee. Complete information was available for 30 patients who had sustained mid-shaft fractures of radius and ulna. Data collection and radiographic findings were standardized for all 30 patients. All 30 patients were followed for 24 months. Results: In the present study 80 percent of patients reported no pain. The union occurred in 90 percent of radius fractures and 93 percent of ulna fractures. An average time for union was 17.14 weeks for the radius and 18.2 weeks for ulna. Conclusion: Outcome of open reduction internal fixation (ORIF) with plates and screws were better than close reduction internal fixation (CRIF) with IM nail, as former minimizes malalignment and resulting loss of forearm rotation. The interpretation of radiological finding was associated with radiological alignment and functional outcomes.
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