Treatment Results of Diaphyseal Forearm Fractures with Dynamique Compression Plate a Retrospective Study of 156 Cases.
PDF

Keywords

Forearm
Shaft fracture
Dynamic compression plate
Clinical and radiological results

Categories

How to Cite

1.
Boussakri H, Bouziane Ouaritini A, Shimi M, Elidrissi M, Elibrahimi A, Elmrini A. Treatment Results of Diaphyseal Forearm Fractures with Dynamique Compression Plate a Retrospective Study of 156 Cases. Integr J Med Sci [Internet]. 2015 Jan. 30 [cited 2024 Apr. 19];2:36-9. Available from: https://mbmj.org/index.php/ijms/article/view/26

Abstract

This retrospective study addresses a series of 156 cases of forearm fractures. These 156 cases were managed in the trauma-orthopedic department (B4) of Fez University Hospital, Morocco, from May 2008 till January 2013. The purpose of this study is to analyze epidemiological and clinical factors of diaphyseal forearm fractures and the results of their treatment with dynamic compression plate (DCP), as well as the complications and therapeutic errors of this surgical technique. The frequency of hospitalization in the trauma-orthopedic department was 3,96%. Ages ranged between 16 and 83, the average age was 32. 132 patients were male (85%). 90% were managed on the day of trauma. Traffic accidents were the most frequent cause in 52% of patients. The fracture was in the left forearm in 65% of patients. 53% of fracture lines were in the middle third of the forearm. 38 fractures were open, and 30 were admitted for polytrauma. Osteosynthesis was performed with a dynamic compression plate for all patients. In comparison with the literature, our series shows the predominance of young male patients, with traffic accidents being the cause. Osteosynthesis with a dynamic compression plate remains the treatment of choice that provides satisfactory results if the accuracy in this technique was respected.

https://doi.org/10.15342/ijms.v2i2.51
PDF

References

Dodge HS, Cady GW. Treatment of fractures of the radius and ulna with compression plates. J Bone Joint Surg Am. 1972 Sep; 54(6):1167-76. [Accessed 1th June 2021]. Available From: https://journals.lww.com/jbjsjournal/Abstract/1972/54060/Treatment_of_Fractures_ofthe_Radius_and_Ulna_with.3.aspx

Smith J. Internal fixation in the treatment of fractures of the shafts of the radius and ulna in adults The Value of Delayed Operation in the Prevention of Non-union. J Bone Joint Sur Br. 1959 Feb; 41 B(1):122-31. https://doi.org/10.1302/0301-620x.41b1.122

Anderson LD, Sisk D, Tooms RE, Park WI 3rd. Compression-plate fixation in acute diaphyseal fractures of the radius and ulna. J Bone Joint Surg Am. 1975 Apr; 57(3):287-97. [Accessed 1th June 2021]. Available From: https://journals.lww.com/jbjsjournal/Abstract/1975/57030/Compression_plate_fixation_in_acute_diaphyseal.1.aspx

Richard MJ, Ruch DS, Aldridge JM. Malunions and nonunions of the forearm. Hand Clin. 2007 May; 23(2):235-43. https://doi.org/10.1016/j.hcl.2007.02.005

Chapman MW, Gordon J, Zissimos A. Compression-plate fixation of acute fractures of the diaphyses of the radius and ulna. J Bone Joint Sur Am.1989 Feb; 71(2):159-69. [Accessed 1th June 2021]. Available From: https://journals.lww.com/jbjsjournal/Abstract/1989/71020/Compression_plate_fixation_of_acute_fractures_of.1.aspx

Müller ME, Koch P, Nazarian S, Schatzker J. The comprehensive classification of fractures of long bones: Springer Science & Business Media; 1990. https://doi.org/10.1007/978-3-642-61261-9

Scott J, Huskisson E. Graphic representation of pain. Pain. 1976 Jun; 2(2):175-84. https://doi.org/10.1016/0304-3959(76)90113-5

Grace TG, Eversmann WW jr. Forearm fractures: treatment by rigid fixation with early motion. J Bone Joint Surg Am. 1980 Apr; 62(3):433-8. [Accessed 1th June 2021]. Available From: https://journals.lww.com/jbjsjournal/Abstract/1980/62030/Forearm_fracturestreatment_by_rigid_fixation.13.aspx

Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and hand). Am J Ind Med. 1996 Jun; 29(6):602-8. https://doi.org/10.1002/(sici)1097-0274(199606)29:6%3C602::aid-ajim4%3E3.0.co;2-l

Ozkaya U, Kilic A, Ozdogan U, Beng K, Kabukcuoglu Y. Comparison between locked intramedullary nailing and plate osteosynthesis in the management of adult forearm fractures. Acta orthop Traumatol turc. Jan-Feb 2009; 43(1):14-20. https://doi.org/10.3944/aott.2009.014

McMahon AJ, Wilson NI, Hamblen DL. Compression-fixation of long bone fractures: problems and pitfalls revisited. Injury. 1989 Mar; 20(2):84-6. https://doi.org/10.1016/0020-1383(89)90146-0

Müller ME, Allgöwer M, Perren SM. Manual of internal fixation: techniques recommended by the AO-ASIF group: Springer Science & Business Media; 1991.

Ross ER, Gourevitch D, Hastings GW, Wynn-Jones C, Ali S. Retrospective analysis of plate fixation of diaphyseal fractures of the forearm bones. Injury. 1989 Jul; 20(4):211-4. https://doi.org/10.1016/0020-1383(89)90114-9

Hertel R, Pisan M, Lambert S, Ballmer FT. Plate osteosynthesis of diaphyseal fractures of the radius and ulna. Injury. 1996 Oct; 27(8):545-8. https://doi.org/10.1016/s0020-1383(96)00091-5

Mikek M, Vidmar G, Tonin M, Pavlovčič V. Fracture-related and implant-specific factors influencing treatment results of comminuted diaphyseal forearm fractures without bone grafting. Arch Orthop Trauma Surg. 2004 Jul; 124(6):393-400. https://doi.org/10.1007/s00402-004-0668-3

Bauer G, Arand M, Mutschler W. Post-traumatic radioulnar synostosis after forearm fracture osteosynthesis. Arch Orthop Trauma Surg. 1991; 110(3):142-5. https://doi.org/10.1007/bf00395796

Kloen P, Wiggers JK, Buijze GA. Treatment of diaphyseal nonunions of the ulna and radius. Arch Orthop Trauma Surg. 2010 Dec; 130(12):1439-45. https://doi.org/10.1007/s00402-010-1071-x

Kloen P, Buijze GA, Ring D. Management of forearm nonunions: current concepts. Strategies Trauma Limb Reconstr. 2012 Apr; 7(1):1-11. https://doi.org/10.1007/s11751-011-0125-0

Faldini C, Pagkrati S, Nanni M, Menachem S, Giannini S. Aseptic forearm nonunions treated by plate and opposite fibular autograft strut. Clin Orthop Relat Res. 2009 Aug; 467(8):2125-34. https://doi.org/10.1007/s11999-009-0827-5

Babhulkar S, Pande K, Babhulkar S. Nonunion of the diaphysis of long bones. Clin Orthop Relat Res. 2005 Feb; (431):50-6. https://doi.org/10.1097/01.blo.0000152369.99312.c5

Duncan R, Geissler W, Freeland A, Savoie F. Immediate internal fixation of open fractures of the diaphysis of the forearm. J Orthop Trauma. 1992; 6(1):25-31.

Bot AG, Doornberg JN, Lindenhovius AL, Ring D, Goslings JC, van Dijk CN. Long-term outcomes of fractures of both bones of the forearm. J Bone joint Surg Am. 2011; 93(6):527-32. https://doi.org/10.2106/jbjs.j.00581

Sanders R, Haidukewych GJ, Milne T, Dennis J, Latta LL. Minimal versus maximal plate fixation techniques of the ulna: the biomechanical effect of number of screws and plate length. J Orthop Trauma. 2002 Mar; 16(3):166-71. https://doi.org/10.1097/00005131-200203000-00005

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2015 Hassan Boussakri et al.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...