Challenging case of segmental fracture of the radial shaft with a ulna shaft fracture – stabalised in the same sitting with plateosteosynthesis and bone grafting

Dr. Vijaynarasimman Reddy; Dr. Varun Manek; Miit Manek

Volume : VIII, Issue : VII, July - 2019

Challenging case of segmental fracture of the radial shaft with a ulna shaft fracture – stabalised in the same sitting with plateosteosynthesis and bone grafting

Dr. Vijaynarasimman Reddy, Dr. Varun Manek, Miit Manek

Abstract :

Diaphyseal fractures involving the radius and ulna, so called ��both–bone�� or ��double–bone�� forearm fractures are common orthopaedic injuries. These injuries can result in significant loss of function if inadequately treated. As the upper extremity serves to position the hand in space, loss of forearm motion and/or muscle imbalance resulting from a poorly treated fracture can be particularly debilitating.[1] Preservation of the anatomic relationships of the proximal and distal radioulnar joints as well as the interosseous space is critical to preserving function. In rehabilitation of patients with severe injuries of the forearm, restoration of osseous stability must precede any repairs of severed nerves or transfers of tendons.[2] The fractures of both bones forearm are one of the commonest fractures found and can be treated by different methods. The accepted management for fractures of both bones forearm is open reduction and internal fixation using compression plating. The present study is undertaken to verify the claims made by the authors of dual plating of segmental fractures and DCP for other fracrure.[3] This study aims at achieving the stability of the fixed fractures with the aim of early mobilisation of the affected wrist and elbow joint so as to prevent shoulder hand syndrome.