Comparison between locked intramedullary nailing and plate osteosynthesis in the management of adult forearm fractures

Abstract

The two fixation methods yield similar results in terms of functional healing and patient satisfaction in the management of adult forearm fractures.

Intramedullary Nailing Of Adult Isolated Diaphyseal Radius Fractures

“…Most studies have been concerned with fractures of both bones of the forearm. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Therefore, as the present study focuses on outcome of treatment of isolated radius fractures, it can be considered a valuable contribution to the literature.…”

“…[1][2][3][4] Displaced radius diaphyseal fracture usually requires surgical treatment. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Köse et al Intramedullary nailing of adult isolated diaphyseal radius fractures The most commonly used and accepted method is osteosynthesis with plate and screws. [1,2] The number of studies that have evaluated outcome of isolated radius or isolated ulna fractures is limited.…”

“…This angle prevents the screw from directing toward the distal joint surface of the radius. The distal locking screw is 2.7 mm in diameter and has length options of 16,18,20,22, and 24 mm. The same nail can be used for both the right and left sides.…”

“…However, the new design of intramedullary radius nails provides satisfactory functional and clinical outcomes, and the treatment method has come to be used more widely. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] …”

LCP with autograft in the treatment of adult forearm aseptic nonunions

“…Although bilateral passing through 4 cortices has been shown to be biomechanically sufficient, [11] most authors advocate passing through 6 cortices on each side of the fracture. [15][16][17][18][19][20][21]26] In each patient, 3.5-mm LCP was used, and fixation was performed by passing through at least 6 cortices on both sides of the fracture. The high rate of union observed following this application suggests that preoperative planning and more stable fixation with the use of locking plates contribute to successful outcome.…”