Retrospective Evaluation of Adult Diaphyseal Forearm Fractures Result In The Treatment Of Plate Osteosynthesis

Abstract

Objective: In this study we aimed to present the midterm clinical and radiological outcomes of low contact dynamic compression plate fixation of adult forearm fractures. Method: The study included 104 patients with adult forearm fractures who were compatible with the inclusion criteria and have attended the last follow up. Results: The mean time to union was 10,82 weeks. Mean Disabilities of the Arm, Shoulder and Hand (DASH) score was 12.75. There were no cases with implant failure, mechanical irritation, refractures and radioulnar synostoses. 36 patieents were evaluated as perfect, 34 patients as good, 34 patients as acceptable outcomes. No unacceptable outcomes have been obtained. Conclusion: Adult forearm diaphyseal fractures are challenging cases in terms of treatment rehabilitation and complications. In order to prevent medicolegal consequences soft tissues and periosteum must be handled gently and anatomic, rigid, and stable reduction must be obtained in primary surgery. Open reduction and internal fixation with LC DCP' is the golden standart treatmen option for forearm diaphyseal fracture management and perfec radiologic and functional outcomes can be obtained with this method.