Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures

Refik Ozbal, Mehmet Tezer, T. Caglar Kockesen, Irfan Ozturk, Unal Kuzgun,

Abstract

Sisli Etfal Egitim ve Arastirma Hastanesi 2. Ortopedi ve Travmatoloji Klinigi\nObjectives: This study sought to determine the most approapriate osteosynthesis material in the treatment of adult forearm fractures. \nMethods: A total of 55 patients (46 males, 9 females; mean age 31.5 years) underwent surgery for adult forearm fractures. According to AO/ASIF classification, most were type A3 fractures (56.3%). Treatment included plate-screw osteosynthesis (77.2%), intramedullary fixation (21.8%) and external fixation (1%). Mean follow-up was 22 months (range 4 months-9 years). \nResults: The union rates were 94.5% and 96.4% for radius ulna, respectively. According to Anderson’s criteria, results were excellent in 39 cases (70.9%), satisfactory in nine cases (16.4%), unsatisfactory in five cases (9.1%), and poor in two cases (3.6%).\nConclusion: The results showed that dynamic compression plates can be preferred initially in adult forearm diaphyseal fractures, with consideration given to the type of fracture, bone nature and the patient’s age.

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