Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

Venkataraman, Sagar; Ethiraj, Prabhu; Naik, Arun Heddur Shanthappa; Angadi, Dr. Sachin P

doi:10.18203/issn.2455-4510.intjresorthop20193835

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…7 Although the fracture can be managed with plate osteosynthesis, it is associated with larger exposure, increased blood loss, scarring, and infections. 8 TENS is now increasingly used at various centers as it is argued to be simple, effective, and minimally invasive. It preserves physis, confers stable fixation, and provides rotation stability.…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Pediatric Femur Fractures Fixation with Titanium Elastic Nail System

Acharya

2023

NOAJ

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Introduction: Pediatric femur fractures are commonly present because of high-velocity injuries in children. It is the most common reason for pediatric hospital admission due to trauma. There is a spectrum of choices for fixation for these fractures, but the best method has always been debated. In this study, we share our experience of fixation of pediatric diaphyseal femur fractures at our center using Titanium Elastic Nail System. Method: A hospital-based prospective study was conducted between January 2019 to June 2022. Patients aged between 5 to 12 years with shaft of femur fracture and body weight of less than 49 kg were included in the study. Children with pathological fractures, ipsilateral limb injuries, metabolic bone disease, and neuromuscular disorders were excluded. All patients were followed up till nine months with radiographic and clinical assessment. Result: A total of 47 children were included in this study. The mean age was 8.08±2.17 years, and the mean weight was 26.55±6.46 kg. Postoperatively the mean union time was 11.36 weeks, whereas the mean time for full weight bearing was 9.70 weeks. Two (4.25 %) patients had transient superficial wound infection. Four (8.51%) patients had skin irritation due to nail tips, and five (10.63%) patients had more than 1cm of limb length discrepancy. Limb malalignment >10 degrees was noted in two (4.25%). At the end of nine months, 70.21% reported excellent, 25.53% satisfactory, and 4.25% poor outcomes as per Flynn’s criteria. Conclusion: Titanium Elastic Nailing System is a minimally invasive pediatric femur fracture fixation method with relatively few associated complications and predictable favorable outcomes. Keywords: Diaphyseal, Pediatric femur fracture, Titanium Elastic Nailing System

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Section: Introductionmentioning

confidence: 99%

The Outcome of Pediatric Femur Fractures Fixation with Titanium Elastic Nail System

Acharya

2023

NOAJ

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“…Forearm fracture presents several problems because of complicated structure of forearm. Proper anatomical reduction is important for rehabilitation and any disruption may lead to functional loss of forearm [1,2,3]. The fracture management involve stable fixation of fracture in a proper alignment [4].…”

Section: Introductionmentioning

confidence: 99%

A Review on: 3D Printed Orthopaedic Cast for Improved Forearm Fracture Rehabilitation

Richa¹

2021

IJRASET

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Forearm fracture has many management related problems. In order to regain its function anatomical reduction and immobility is very necessary. Traditional cast is not a satisfactory cast as it is heavy, poorly ventilated and often causes fracture related complications. The paper deals with application of 3D printing technique for suitable cast for forearm rehabilitation. Novel 3D printed cast is light weighted, ventilated, custom fit, strong and waterproof and substantial improvement over conventional orthopaedic cast. With the development in technology, it is expected that the cost of fabrication and its manufacturing time will be greatly reduced in the coming future. Keywords: bone fracture, immobility, rehabilitation, 3D printing, orthopaedic cast

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A Prospective Comparative Study of Both Bone Forearm Fracture in Patients above Twelve Years of Age Treated with Dynamic Compression Plating and Intramedullary Nailing at a Tertiary Care Hospital in Kurnool, Andhra Pradesh

Basha¹,

Chandan²,

Gajendra³

2021

jemds

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BACKGROUND The incidence of forearm fractures is increasing faster than the usual predicted rate due to rapid industrialization, increased incidence of motor vehicle accident and various sports activities and increase in the incidence of fall and direct blow. For pronation and supination to occur, the maintenance of interosseous space becomes mandatory while fixing the fractures involving radius and ulna.1 Both bone forearm fractures are not uncommon. Healing occurs reliably after closed treatment but malunion with resultant decreased rotation of the forearm is common and has been associated with poor results.2,3 The purpose of this study was to analyse functional outcome of both bone forearm fracture in patients above 12 years of age treated with dynamic compression plating and intramedullary nailing. METHODS This is a prospective comparative study of 30 cases of diaphyseal fracture of both bones of forearm who attended casualty and out-patient department (OPD) of Government General Hospital, Kurnool and were treated by surgical fixation with dynamic compression plating and intramedullary nailing between November 2018 to November 2020. RESULTS The functional outcome as per modified grace eversmann scoring system in dynamic compression plating (DCP) group was that 80 % (12 patients) had excellent results, 20 % (3 patients) had good results with no patient having fair and poor results. In the intramedullary nailing (IMN) group, 66.7 % (10 patients) had excellent results, 13.3 % (2 patients) had good results, 13.3 % (2 patients) had fair results and 6.7 % (1 patient) had poor result. CONCLUSIONS Even though plate osteosynthesis is still the most commonly used form of fixation in both bone forearm fractures, titanium elastic nail and intramedullary nail fixation are relatively newer techniques which offer viable and more efficient alternative especially in fixation of fractures involving shafts of radius and ulna. KEY WORDS Intramedullary Nailing, Titanium Elastic Nailing, Dynamic Compression Plating

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Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

Cited by 3 publications

References 16 publications

The Outcome of Pediatric Femur Fractures Fixation with Titanium Elastic Nail System

The Outcome of Pediatric Femur Fractures Fixation with Titanium Elastic Nail System

A Review on: 3D Printed Orthopaedic Cast for Improved Forearm Fracture Rehabilitation

A Prospective Comparative Study of Both Bone Forearm Fracture in Patients above Twelve Years of Age Treated with Dynamic Compression Plating and Intramedullary Nailing at a Tertiary Care Hospital in Kurnool, Andhra Pradesh

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