Internal fixation of forearm fractures in the 1980s: lessons to be learnt

Intramedullary Nailing Of Adult Isolated Diaphyseal Radius Fractures

“…[2,27,28] Open and comminuted fractures, fractures caused by high energy trauma, insufficient compression and reduction in comminuted fractures, and concomitant fracture in the same extremity increase the rate of refracture. [27,28] Removal of the implant within 8 postoperative months decreases the rate of refractures, [29] which generally occur 2-24 months after implant removal. [29] In plate and screw osteosynthesis, cortical atrophy may occur around the screw holes, causing high rate of refracture following implant removal.…”

LCP with autograft in the treatment of adult forearm aseptic nonunions

“…Mean follow-up was 49.3 months (range: 24-73), mean time to union was 5.7 months (range: [3][4][5][6][7][8][9][10][11][12][13][14], and mean time to return to work was 7.1 months (range: [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. No bacterial growth was observed in cultures obtained during surgery.…”

“…[1,[5][6][7][17][18][19][20] Factors related to fracture (comminution, open fracture, location of the fracture, state of soft tissue), patient (age, smoking, additional diseases), and initial treatment (implant used, surgical technique) have been held responsible for forearm non-union. Debridement of devitalized tissue, removal of failed implant, proper alignment during surgery, and achievement of rotation are the stages to be followed during non-union surgery.…”

“…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.…”

“…In spite of recently developed surgical techniques and use of modern implants, the results are not fully satisfactory, and debates regarding the necessity of grafting and type of implant to be used continues. [15][16][17][18][19][20][21] In the present study, efficacy of LCP application and autografting in the treatment of aseptic non-union of the adult forearm was retrospectively evaluated from a radiological and clinical perspective.…”