International Journal of Orthopaedics Sciences
2018, Volume 4 Issue 4
Functional outcome of surgical management of fracture both bones forearm in adults using LC-DCP
Author(s): Dr. Ravijeet Prakash, Dr. Shashi Kant Kumar Singh, Dr. Ankur Ojha and Dr. LB Manjhi
Abstract: Background: Forearm bone fractures are commonly encountered in today’s industrial era due to road traffic accidents, contact atheletic participation and falls from a height. Treatment by closed reduction and cast immobilization risks a poor functional outcome with unsatisfactory results reported in up to 92% of cases, usually caused by malunion, nonunion, or synostosis. Open reduction and internal fixation with plating is generally accepted as the best method of treatment for displaced diaphyseal fractures of the forearm in the adult. This study will be conducted to analyze diaphyseal fractures of the forearm treated with limited contact dynamic compression plate and will document their clinical and functional outcome. Materials and Methods: A prospective, non-controlled, non-randomized, non-blinded observational study, on patients with diaphyseal fractures of both bone forearm admitted in Department of Orthopaedics, RIMS, Ranchi during two years time interval (from 1st October 2015 to 30thSeptember 2017) in the age group of 19 to 70 years with a mean age of 36.29 years was conducted. 53 Patients were selected for the study from those presenting to our hospital. The outcome was assessed based the disabilities of arm; shoulder and hand (DASH) score. Results: Results were analysed according to disabilities of arm; shoulder and hand (DASH) score. Excellent functional outcome result in 40 patients (80%), satisfactory in 5 patients (10%) while remaining had fair to poor outcome. Mean final DASH score of 23.99 was recorded among the study group. Maximum number of patients had no complication, complication like superficial infection were reported among few patients. Despite these complication the overall functional result was good; suggesting that open reduction and internal fixation with limited contact dynamic compression plate (LC -DCP) is an effective treatment modality in these fractures. Conclusion: Open reduction and internal fixation with limited contact dynamic compression plate (LC-DCP) is an effective method of treatment for AO type A3, B3 and type C both bone forearm fracture. This implant is particularly helpful in osteoporotic bones.