Outcomes Following Plate Fixation of Fractures of Both Bones of the Forearm in Adults

Abstract

Stabilization with internal plate fixation following fracture of both bones of the forearm restores nearly normal anatomy and motion. However, a moderate reduction in the strength of the forearm, the wrist, and grip should be expected following this injury. Perceived disability as measured with the DASH and SF-36 questionnaires is determined by pain more than by objective physical impairment.

A Comparıson of the Treatment Results of Open Reduction Internal Fixation and Intramedllary Nailing in Adult Forearm Diaphyseal Fractures

“…[3,4,7,10,[23][24][25]27] Time to union has been reported as between 7.4 and 33 weeks. [23][24][25][26][27] Functional evaluation results generally are at a satisfactory level. In the plate group of the current study, union was achieved at a rate of 97.6% at a mean of 13.19 (range, 10-20) weeks.…”

Long-Term Outcomes of Fractures of Both Bones of the Forearm

“…iaphyseal fractures of both the radius and the ulna that are treated with plate-and-screw fixation are associated with high union rates [1][2][3][4][5] . After fracture-healing, patients experience slight reduction of grip strength (15% to 25%) 4 and forearm rotation (10%) 4,5 .…”

“…After fracture-healing, patients experience slight reduction of grip strength (15% to 25%) 4 and forearm rotation (10%) 4,5 . Only malunion [6][7][8] and severe open fractures are associated with an unsatisfactory outcome 9 .…”

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.…”

“…Low complication rates and successful results in large series have been reported. [1][2][3][4][5] The most commonly reported conclusion is that fixation with plate provides anatomical, reliable reduction that makes early mobilization possible. [5,[6][7][8][9][10][11][12][13][14][15] However, infection, neurovascular injury, non-union, malunion, compartment syndrome, and radioulnar synostosis are potential complications.…”