No abstract

The symptomatic nonunion of the scaphoid is disabling condition and the majority of patients are of young working-class and hence surgical intervention to get union in these cases are very important. Our study analyses the early functional outcome of scaphoid nonunion treated with bone grafting and Herbert screw fixation. The study was conducted in The Department of Orthopedics, Government Medical College, Thrissur from December 2017 to May 2018 and study included 12 patients whose wrist function evaluated with modified mayo's wrist score. Our series resulted in 58.3% excellent, 33.3% good and 8.3% fair functional outcomes. The average time from injury to surgical fixation was 13 months and mean age of the patients was 27.9 years. Our study concluded that the management of scaphoid non unions with the herbert screw and bone grafting can provide enough stability to allow fracture healing without much external splintage. The wrist function improvement is more satisfactory and the fixation reduces the progression of wrist osteoarthritis.

The diaphyseal fractures of radius and ulna in adults can result in significant loss of function if inadequately treated. Hence, they are usually managed by internal fixation and dynamic compression plates are the most commonly used implant for this purpose. We report the clinico-radiological outcome of both bone forearm fractures treated with Dynamic Compression Plate, through a prospective study done at Government Medical College, Thrissur from December 2014 to November 2015. The final outcome evaluated by Anderson criteria showed 62.5% excellent, 33.33% good results and only one poor outcome. Our series had 95.83% union rates with mean union duration of 13.8 weeks. We concluded that open reduction and internal fixation of adult forearm shaft fractures can be appropriately treated with Dynamic Compression Plating, which will give an excellent to good results and the results are worthy of comparison with those of the expensive newer implants.