Treatment of forearm fractures with dynamic compression plates

Authors

Keywords:

fracture, forearm, dynamic compression.

Abstract

Introduction: Fractures of the forearm compromise the diaphysis of the radius and ulna. Their anatomical relationship plays an important role because the forearm is linked to hand movements to ensure limb and soft tissue function.

Objective: To evaluate the results of treating diaphyseal forearm fracture with dynamic compression plate.

Methods: A prospective, longitudinal and descriptive study was carried out in 28 patients with diaphyseal fracture of the forearm. They underwent surgery with a dynamic compression plate at Fructuoso Rodríguez Teaching Orthopedic Hospital. The results were evaluated according to Grace-Eversmann functional scale.

Results: The mean age was 38 years, with a gender ratio of 2.1:1. Fractures of the middle third of the radius and ulna predominated. The left side was affected more, but 75% of the cases had excellent result. No failures were recorded with the applied surgical technique.

Conclusions: Osteosynthesis with dynamic compression plating in diaphyseal fractures of the forearm is a suitable alternative to guarantee high consolidation rates and excellent functional results.

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References

Philipp N, Streubel S, Grossman A. Diaphyseal fractures of the radius and ulna. En: Tornetta III P, Ricci WM, Ostrum RF, McQuenn MM, Court-Brown CM editors. Rockwood and Green's Fractures in adults. 9 ed. Philadelphia, Pa: Wolters Kluwer; 2020. p. 2446-527.

Russel TA. Classification of Diaphyseal fractures. En: Azar FM, Canale T, Beaty JH, editors. Campbell’s Operative Orthopaedics. 14 ed. Philadelphia, Pa: Elsevier; 2021. p. 728-30.

Leah MS, Clifton GM, Robert JN. Management of adult diaphyseal bothbone forearm fractures. J Am Acad Orthop Surg. 2016;22(7):437-46. DOI: https://doi.org/10.5435/jaaos-22-07-437

Köse A, Aydin A, Ezirmik N, Topal M, Can CE. Treatment of isolated ulnar fractures in adults with a new intramedullary nail. Minerva Ortop Traumatol. 2015 [acceso 07/11/2018];66(3):123-31. Disponible en: https://www.minervamedica.it/en/journals/minerva-orthopedics/article.php?cod=R14Y2015N03A0123

Perez EA. Fractures of the shoulder arm and forearm. En: Azar FM, Canale T, Beaty JH, editors. Campbell’s Operative Orthopaedics. 14 ed. Philadelphia, Pa: Elsevier; 2021. p. 3031-126.

Bum S, Moo Y, Woong J, Bum L, Gu B. Shaft fractures of both forearm bones: the outcomes of surgical treatment with plating only and combined plating and intramedullary nailing. Clin Orthop Surg. 2016;7(3):282-90. DOI: https://doi.org/10.4055/cios.2015.7.3.282

Saka G, Saglam N, Kurtulmus T, Akpinar F, Kovaci H, Celik A, et al. New interlocking intramedullary radius and ulna nails for treating forearm diaphyseal fractures in adults: a retrospective study. Injury. 2016;45 Supl 1:16-23. DOI: https://doi.org/10.1016/j.injury.2013.10.040

Köse A, Aydin A, Ezirmik N, Topal M, Can CE, Yilar S. Intramedullary nailing of adult isolated diaphyseal radius fractures. Ulus Travma Acil Cerrahi Derg. 2016;22(2):184-91. DOI: https://doi.org/10.5505/tjtes.2015.87036

Köse A, Aydin A, Ezirmik N, Yildirim OS. A comparison of the treatment result of open reduction internal fixation and intramedullary nailing in adult forearmdiaphyseal fractures. Ulus Travma Acil Cerrahi Derg. 2017;23(3):235-44. DOI: http://doi.org/10.5505/tjtes.2016.66267

Bartoníček J, Naňka O, Tuček M. Internal fixation of radial shaft fractures: Anatomical and biomechanical principles. Rozhl Chir. 2017 [acceso 07/11/2018];94(10):425-36. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26556020

Grace TG, Eversmann WW. Forearm fractures: treatment by rigid fixation with early motion. J Bone Joint Surg Am. 1980 [acceso 07/11/2018];62(3):433-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7364814

Cevik N, Akalin Y, Ozturk A. Comparación funcional y radiológica de los resultados del tratamiento quirúrgico de las fracturas diafisarias del antebrazo en adultos tratados con reducción abierta y fijación interna. J Europ Reserch. 2020;6(5):500-7.

Schemitsch EH, Richards RR. The effect of malunion on functional outcome after plate fixation of fractures of both bones of the forearm in adults. J Bone Joint Surg Am. 1992 [acceso 07/11/2018];74(7):1068-78. Disponible en: https://pubmed.ncbi.nlm.nih.gov/1522093

Weckbach A, Blattert TR, Weisser C. Interlocking nailing of forearm fractures. Arch Orthop Trauma Surg. 2006;126:309-15. DOI: http://doi.org/10.1007/s00402-006-0122-9

Capo JT. Forearm shaft. En: Buckley RE, Moran CG, Apivatthakakul T, editors. AO Principles of Fractures Management 3 ed. Davos: AO Foundation; 2017. 657-72.

Mcandrew CM. Forearm trauma and diaphyseal fractures. En: Jay R. Lieberman editor. American Academy of Orthopaedic Surgeons. 3 ed. Philadelphia, Pa: Wolters Kluwer; 2020. 953-73.

Schütz M, Kääb M, Haas N. Fijación interna de fracturas diafisarias de antebrazo con un sistema placa-tornillo de ángulo fijo. Téc Quir Ortop Traumatol. 2005 [acceso 07/11/2018];14(1):24-33. Disponible en: https://www.elsevier.es/es-revista-tecnicas-quirurgicas-ortopedia-traumatologia-41-articulo-fijacion-interna-fracturas-diafisarias-antebrazo-13073864

Hertel R, Pisan M, Lambert S, Ballmer FT. Plate osteosynthesis of diaphyseal fractures of the radius and ulna. Injury. 1996;27:545-48. DOI: https://doi.org/10.1016/s0020-1383(96)00091-5

Clemente JD, Romero LM, Florez B, Amillo S. Fracturas de antebrazo. Resultado funcional tras reducción abierta y osteosíntesis. Rev Esp Cirug Osteoart. 2008 [acceso 22/02/2019];44(234):55-9. Disponible en: http://www.cirugia-osteoarticular.org/adaptingsystem/intercambio/revistas/articulos/34_04_fractura%20antebrazo.pdf

Blount W. Fractures in children. Postgrad Med. 1954;16(3):209-16. DOI: https://doi.org/10.1080/00325481.1954.11711663

Tarr RR, Garfinkel AI, Sarmiento A. The effects of angular and rotational deformities of both bones of the forearm. An in vitro study. J Bone Joint Surg Am.1984 [acceso 05/04/2020];66(1):65-70. Disponible en: https://pubmed.ncbi.nlm.nih.gov/6690445/

Ozkaya U, Kiliç A, Ozdoğan U, Beng K, Kabukçuoğlu Y. Comparación entre el enclavado intramedular bloqueado y la osteosíntesis con placa en el tratamiento de las fracturas de antebrazo en adultos. Acta Orthop Traumatol Turc. 2009;43(1):14-20. DOI: http://doi.org/10.3944/AOTT.2009.014

Lee SK, Kim KJ, Lee JW, Choy WS. Osteosíntesis con placa versus clavado intramedular para las fracturas de ambos huesos del antebrazo. Eur J Orthop Surg Traumatol. 2016;24:769-76.

Matthews LS, Kaufer H, Garver DF. The effect on supination-pronation of angular malalignment of fractures of both bones of the forearm. J Bone Joint Surg Am.1982;64(1):14-7. DOI: https://doi.org/10.2106/00004623-198264010-00003

Regan DK, Crespo AM, Konda SR, Egol KA. Functional outcomes of compression plating and bonegrafting for operative treatment of nonunions about the forearm. J Hand Surg Am. 2018;43(6):564.e1-e9. DOI: http://doi.org/10.1016/j.jhsa.2017.10.039

Brinker MR, O’Connor DP. The biological basis for nonunions. J Bone Joint Surg. 2016;4(6). DOI: https://doi.org/10.2106/JBJS.RVW.15.00078

Published

2023-03-21

How to Cite

1.
Prieto Bravo R, Bestard Prieto G, Blanco Soto J, Velázquez Reyes L, Pérez Fernández N. Treatment of forearm fractures with dynamic compression plates. Revista Cubana de Ortopedia y Traumatologí­a [Internet]. 2023 Mar. 21 [cited 2025 Feb. 8];37(1). Available from: https://revortopedia.sld.cu/index.php/revortopedia/article/view/388

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