Intramedullary Fixation of Fractures of the Forearm

Hall, Richard H.; Bugg, Everett I.; Vitolo, R E

doi:10.1097/00007611-195209000-00009

Cited by 5 publications

(6 citation statements)

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“…In 1913, Schöne 24 first used silver nails for radial and ulnar medullary fixation, and subsequently various nails were developed to stabilize forearm fractures 13,14,[25][26][27][28][29][30][31] . Moreover, the successful application of closed locking-nail fixation of the femur, tibia, and humerus along with the lack of rotational control of comminuted or segmental fractures offered by interference-fit forearm nails as well as the frustration that surgeons feel about having to apply plates to segmental diaphyseal forearm fractures in the face of poor overlying skin, severe swelling, and refracture rates of 11% to 20% after plate removal have led to an interest in locking nailing for forearm fractures [32][33][34][35] .…”

Section: Discussionmentioning

confidence: 99%

Interlocking Contoured Intramedullary Nail Fixation for Selected Diaphyseal Fractures of the Forearm in Adults

Lee

Chung

et al. 2008

The Journal of Bone and Joint Surgery-American Volume

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Section: Discussionmentioning

confidence: 99%

Interlocking Contoured Intramedullary Nail Fixation for Selected Diaphyseal Fractures of the Forearm in Adults

Lee

Chung

et al. 2008

The Journal of Bone and Joint Surgery-American Volume

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“…Also unlike compression plating, intramedullary devices are stress sharing rather than stress shielding, which leads to peripheral periosteal callus that may facilitate the stronger fracture union. Despite this abundant callus a mechanical block to the forearm rotation had not been reported to our knowledge 26 . In our study there was no case of radioulnar synostosis.…”

Section: Discussionmentioning

confidence: 94%

“…In 1913 Schone 22 first used the silver nails for radial and ulnar medullary fixation, and subsequently various nails were developed to stabilize forearm fractures. 13,14,[23][24][25][26][27][28] Vom Saal 29 (1954) developed the first square nail. Talwalkar 30 (1967) treated 72 cases of both bone forearm fractures by square nail and resulted in 100% union rate.…”

Section: Discussionmentioning

confidence: 99%

Results of Closed Intramedullary Nailing vs Plate Osteosynthesis in Diaphyseal Fractures of Both Bones Forearm in Adults

Tandon¹,

Zuber²,

Dhiman³

et al. 2015

jemds

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BACKGROUND:Plate osteosynthesis is the most commonly used technique for the treatment of diaphyseal forearm fractures in adults. However, application of a plate can disrupt the periosteal blood supply and necessitates skin incision that may be unsightly, and there is a risk of refracture if the implant is removed. The purpose of this study was to assess the early results of the use of closed intramedullary nail to stabilize displace diaphyseal fractures of both bones forearm. AIMS OF STUDY: 1.To evaluate the results of internal fixation of diaphyseal fractures of both bones forearm treated by plate osteosynthesis and closed intramedullary nailing. 2. To compare the functional results of the two groups treated with plate osteosynthesis and closed intramedullary nailing. 3. To review the literature on the treatment of diaphyseal fractures of forearm bones. METHODS: From September 2006 to October 2008 in the Department of Orthopaedics and Traumatology, Gandhi medical college and associated Hamidia Hospital, Bhopal, total of 38 patients of both bones forearm fractures were treated. Eighteen (18) patients with were treated with plate osteosynthesis and 20 patients with closed intramedullary nailing using the square nails. Total 31 patients were available for the follow up. Average follows up in plate osteosynthesis group was 14.1 months and in closed intramedullary nailing group was 15 months, with range from 12 months to 21 months. Functional results were assessed by Anderson et al criteria (1975). RESULTS: Average surgery time in plate osteosynthesis group was 68 minutes, and in closed nailing group was 43 minutes. In plate osteosynthesis group radius showed union in 14 (93.2%) patients and ulna in 13 (86.8%) of patients, in closed nailing group both radius and ulna resulted in 100% union rate. In plate osteosynthesis group there was 1 deep infection, 1 implant failure, and 3 nonunion. Functional results in plate osteosynthesis group were excellent in 12 (80%) of patient, satisfactory in 1(6.6%), failure in 2(13.2%). There was no unsatisfactory result in this group. In closed nailing group result were excellent in 11(68.7%), satisfactory in 4(24.8%), unsatisfactory in 1(6.2%) and no failure. CONCLUSIONS: Our experience indicates that the advantage of closed intramedullary nailing for fractures of both bones forearm are that it is technically straightforward, it allows high rate of osseous union, and it requires less surgical exposure and operative time, less risk of infection than does plate osteosynthesis for diaphyseal fractures of both bones forearm in adults. The disadvantage of this system is that post-operative immobilization is required until bridging callus is observed at the fracture site and radiation hazard to patient and surgeon. We conclude that closed intramedullary nailing is not superior to plate fixation but can be considered as an alternative to that method for diaphyseal forearm fractures in adults. KEYWORD: forearm nailing, forearm plating. INTRODUCTION:Fractures of the radius or ulna...

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“…167 (97%) of these patients achieved bone union, in 14 (8%) of them union was delayed. The mean time to union for closed fractures was 13 (range, [7][8][9][10][11][12][13][14][15][16] weeks and for open fractures was 15 (range, 12-22) weeks. The mean operating time was 63 (range, 34-129) minutes.…”

Section: Resultsmentioning

confidence: 99%

“…The mean operating time was 63 (range, 34-129) minutes. The mean time in cast was 6 (range, [3][4][5][6][7][8][9][10][11][12][13][14] weeks. Based on the Anderson classification, 47 (27%) of patients attained excellent, 78 (45%) satisfactory, 39 (23%) unsatisfactory results.…”

Section: Resultsmentioning

confidence: 99%

Intramedullary Fixation Using Multiple Kirschner Wires for Forearm Fractures: A Developing Country Perspective

Abalo

Dossim

Assiobo

et al. 2007

J Orthop Surg (Hong Kong)

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Intramedullary Fixation of Fractures of the Forearm

Cited by 5 publications

References 0 publications

Interlocking Contoured Intramedullary Nail Fixation for Selected Diaphyseal Fractures of the Forearm in Adults

Interlocking Contoured Intramedullary Nail Fixation for Selected Diaphyseal Fractures of the Forearm in Adults

Results of Closed Intramedullary Nailing vs Plate Osteosynthesis in Diaphyseal Fractures of Both Bones Forearm in Adults

Intramedullary Fixation Using Multiple Kirschner Wires for Forearm Fractures: A Developing Country Perspective

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