scholarly journals Open Reduction and Internal Fixation of Both-Bones Forearm Fractures*

2015 ◽  
Vol 5 (4) ◽  
pp. e28 ◽  
Author(s):  
Aaron Nauth ◽  
Michael D. McKee
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Forearm Fractures ◽  
Both Bones

Open Reduction and Internal Fixation of Forearm Fractures in Children

1996 ◽  
Vol 16 (5) ◽  
pp. 651-654 ◽  
Author(s):  
Robert Ortega ◽  
Randall T. Loder ◽  
Dean S. Louis
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Forearm Fractures ◽  
Fractures In Children

Open Reduction and Internal Fixation of Pediatric Forearm Fractures

1996 ◽  
pp. 644-650 ◽  
Author(s):  
Brad Wyrsch ◽  
Gregory A. Mencio ◽  
Neil E. Green
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Forearm Fractures

scholarly journals Diaphyseal Fractures of the Forearm in Adults, Plating Or Intramedullary Nailing Is a Better Option for the Treatment?

2016 ◽  
Vol 4 (4) ◽  
pp. 670-673 ◽  
Author(s):  
Tabet A. Al-Sadek ◽  
Desislav Niklev ◽  
Ahmed Al-Sadek
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Large Field ◽  
Rigid Fixation ◽  
X Rays ◽  
Simple Method ◽  
Strict Adherence ◽  
Diaphyseal Fractures ◽  
Both Bones

BACKGROUND: Fractures of the radius and ulna occupy a large field of the modern traumatology. Therefore, these fractures are a major subject in modern orthopaedics and traumatology. The study of the mechanisms of the trauma, and the pathophysiological changes that occur are of great importance for the development of ever more efficient and varied ways of the treatment and prophylactics of this type of fracture.AIM: The aim of this paper was to study the pattern of the diaphyseal fractures of the forearm in adults, to decide the modalities of surgical management, to observe the period of fracture healing clinically and radiologically, as well to study the rehabilitation of the patients.MATERIAL AND METHODS: The present study included 45 cases of diaphyseal fractures of both bones forearm in adults presenting to the orthopaedic outpatient department. For all the patients a detailed history was taken. A thorough clinical examination was carried out, required X-rays were taken, and initial treatment was given and admitted as in all patients. After careful pre-operative planning and evaluation for anaesthetic fitness, patients were operated for the fractures of both bone forearms. Twenty-three cases with 46 fractures were treated by open reduction and rigid fixation with DCP & Semi-tubular plates and 22 cases with 44 fractures were treated by closed reduction and fixation with “Talwarkar” intramedullary square nails.RESULTS: United results were found in 100% of plating group vs. 86% in the nailing group. Delayed and non-union results were found in 9% of the nailing group only. Average time to union in weeks was 9.4 weeks in the plating group vs. 10.2 weeks in the nailing group.CONCLUSION: Open reduction and internal fixation with compression plates with strict adherence to surgical technique is the gold standard method of treatment in both bones forearm fractures with excellent results than closed reduction, internal fixation with “Talwarkar” square nails which is also again a simple method with better results than conservative methods.

scholarly journals Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

2019 ◽  
Vol 5 (5) ◽  
pp. 916
Author(s):  
Sagar Venkataraman ◽  
Prabhu Ethiraj ◽  
Arun Heddur Shanthappa Naik ◽  
Sachin Prakash Angadi
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Road Traffic ◽  
Dynamic Compression ◽  
Fracture Pattern ◽  
Plate Versus ◽  
Forearm Fractures ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Forearm fractures are common nowadays because of road traffic accident. It is important to achieve anatomical reduction of both bone forearm fractures to regain function of upper limb. This study is undertaken to observe functional and radiological outcome using two different surgical modalities like dynamic compression plating (DCP), and intramedullary nailing in both bone forearm fractures and also to indivualize the optimal treatment method for different fracture pattern.</p><p class="abstract"><strong>Methods:</strong> Our study included 60 patients with diaphyseal forearm fractures in adults presenting to orthopaedic outpatient department. Among 60 patients, 30 patients underwent open reduction and internal fixation by dynamic compression plate and other 30 patients underwent closed reduction/open reduction by square nail after detailed pre-operative evaluation.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study average union time in DCP group is 23.39 weeks and square nail group is 28.89 weeks. Union in DCP group was 27 (90%) and square nail group 22 (73.33%). Delayed union in DCP group was 03 (10%) and in Square nail group was 6 (20%), non-union in DCP group was 0 (nil) and in square nail group was 2 (06%).</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation with DCP plates for both bone diaphyseal forearm fractures gives good results with early union rates. We also found that in open fractures and complex fracture like segmental fractures square nailing was better option compared to dynamic compression plate to reduce infection rates, retain periosteal blood supply from soft tissue. Thus we conclude that both implants are equally important and we should prioritize based on preoperative planning.</p>

scholarly journals Performance and Return to Sport After Forearm Fracture Open Reduction and Internal Fixation in National Football League Players

Hand ◽  
2017 ◽  
Vol 13 (6) ◽  
pp. 682-688 ◽  
Author(s):  
Kyle R. Sochacki ◽  
Robert A. Jack ◽  
Takashi Hirase ◽  
Patrick C. McCulloch ◽  
David M. Lintner ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
National Football League ◽  
Forearm Fracture ◽  
Return To Sport ◽  
High Rate ◽  
Forearm Fractures ◽  
Postoperative Performance ◽  
Paired Samples ◽  
Significant Difference

Background: Forearm fractures are one of the most common upper extremity injuries requiring surgery in professional football. Surgical fixation of forearm fractures may speed recovery and decrease games missed in football. Methods: National Football League (NFL) players who underwent forearm fracture open reduction and internal fixation (ORIF) were identified. Matched controls (position, age, experience, performance) were identified. Control and case performance scores were calculated using a standardized scoring system. Return to sport (RTS) in the NFL was defined as playing in a single NFL game after surgery. Comparisons between case and control groups and preoperative and postoperative time points were made using paired-samples Student t tests. Results: Thirty-six surgeries were analyzed following ORIF. Thirty-three were able to RTS in the NFL at an average of 152.1 + 129.8 days. Controls had a significantly longer NFL career ( P < .001) and played in significantly more games per season ( P = .026) than players who underwent surgery. There was a significant ( P = .013) decrease in games/season for DBs following surgery. No significant difference was seen in postoperative performance scores compared with preoperative scores among any positions, nor in postoperative and postindex performance scores compared with matched controls. Conclusion: There is a high rate of RTS in the NFL following forearm fracture ORIF. Following surgery, players’ careers were 1 year shorter and played nearly 2 fewer games per season than matched controls. Games per season following surgery was significantly lower among DBs when compared with presurgery. Postoperative performance scores were not significantly different compared with preoperative and when compared with matched controls.

Persistent ventricular bigeminy during anesthesia in pediatric patients: a case report of an 11-year-old child

2017 ◽  
Vol 0 (0) ◽  
Author(s):  
Sheetal Dalal ◽  
Vikas Chaudhari
Keyword(s):  
Case Report ◽  
Sinus Rhythm ◽  
Internal Fixation ◽  
Open Reduction ◽  
Pediatric Population ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Anesthetic Drugs ◽  
Both Bones ◽  
Ventricular Dysrhythmias

AbstractAn 11-year-old male child with fractures in both bones in his left forearm presented for open reduction and internal fixation. The pre-anesthetic check-up and investigations did not reveal any pre-existing underlying cardio-respiratory disease. The patient had an uneventful peri-operative period during the operation and was comfortable without any anxiety or restlessness. After an uneventful induction and intubation as per routine protocol, the patient received 600 mg of amoxicillin+clavunate intravenously as an antibiotic. After 3 min, the patient developed persistent ventricular bigeminy with intermittent sinus rhythm, which returned to normal after 20 min. Open reduction and internal fixation of the fractures in both bones were done. Extubation and the post-op course were uneventful. To rule out the cause of arrhythmia, ECG, 2D-ECHO and serum electrolyte evaluation were done, however the results came back as normal. Many days later, the patient fell again on the same arm and revisited the ortho operation theatre for revision surgery. As the child was very cooperative and calm, he was given a supraclavicular block after proper counseling. Thirty minutes before tourniquet inflation as a routine method, 600 mg of amoxicillin+clavunate was administered. After 5 min, the patient developed persistent ventricular bigeminy. After 1 h, the child complained of chest pain and had redness of eyes and was restless. This was managed with 100% oxygen and an injection of 150 mg amiodarone intravenously. Surgery was postponed for further stabilization and optimization. Serum electrolytes were normal. The child was observed in the surgical intensive care unit with continuous ECG monitoring. Ventricular bigeminy with intermittent sinus rhythm persisted for 3 days. This was managed with metoprolol 12.5 mg BD and amiodarone 100 mg OD tablets. The opinion of a pediatric cardiologist was obtained and repeated 2D-ECHO results revealed no abnormality. After 5 days, the patient was discharged and surgery was rescheduled for 2 weeks later with continuation of metaprolol and amiodarone tablets. On the fourth occasion we avoided the injection of amoxicillin+clavunate and all anesthetic drugs, which might contribute to cardiac arrhythmia. The peri-operative period was uneventful. An in-depth discussion of the case and ventricular dysrhythmias in the pediatric population is emphasized in this case report.

scholarly journals OPEN REDUCTION AND INTERNAL FIXATION OF FRACTURE BOTH BONES OF FOREARM THROUGH A SINGLE POSTERIOR CURVILINEAR INCISION

2018 ◽  
Vol 5 (43) ◽  
pp. 3012-3016
Author(s):  
Sibaji Chaudhuri ◽  
Joydeep Mandal ◽  
Kaunteya Ghosh ◽  
Pradyumna Chakrabarty ◽  
Swarnabha Mukhopadhyay
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Both Bones

scholarly journals A prospective comparative study of internal fixation of diaphyseal forearm fractures with LCP and DCP in above 50 year age group

2018 ◽  
Vol 4 (3) ◽  
pp. 395
Author(s):  
P. Amarnath Reddy ◽  
C. Dinesh Reddy
Keyword(s):  
Internal Fixation ◽  
Functional Results ◽  
Vital Role ◽  
Age Group ◽  
Forearm Fractures ◽  
Prospective Comparative Study ◽  
Both Bones ◽  
A Prospective Study ◽  
Type Of Injury ◽  
Radiological Union

<p class="abstract"><strong>Background:</strong> In orthopedic practice forearm bone fracture is commonly encountered fracture. Forearm plays a vital role in day to day activities without which a person is unable to perform his role in his own life. It has been estimated that around 31% of the total fractures of the upper limb are of forearm fractures. The objective of the study was to study and compare internal fixation of diaphyseal forearm fractures with LCP and DCP in above 50 year age group</p><p class="abstract"><strong>Methods:</strong> Present study was hospital based study. This was a prospective study. A total of 50 patients with fracture of both bones in the forearm were included in the present study. They were divided randomly as 25 patients in each group. They were followed for about eight months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Both the groups in the present study were found to be comparable in terms of age, sex, mode of injury, type of injury and level of fracture. It took only 13.83 weeks for radiological union in LCP group and it took a longer in DCP group of 15.33 weeks. This difference was found to be statistically significant. Overall functional results were almost same in both the groups. Excellent in 36 cases (19 in LCP, 17 in DCP), Good in 10 cases (4 in LCP, 6 in DCP), fair in 4 cases (2 in each group).</p><p class="abstract"><strong>Conclusions:</strong> It has been concluded from the present study that union of fracture after LCP had taken significantly lesser time as compared to the DCP technique. Hence especially in persons above 50 years, LCP should be used.</p>

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