Online ISSN: 2515-8260

Keywords : forearm fractures


Functional outcome of forearm fractures treated by intramedullary tens fixation: A prospective study

Dr. Navneet Singh, Dr. Punit Tiwari, Dr. Sandeep Singh Jaura, Dr. Aamna Athwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 346-353

Introduction: Most forearm fractures in adults are treated by Open Reduction and Internal Fixation with plates. Another treatment modality is intramedullary nailing but in clinical practice, this is rarely used. We conducted this study intending to evaluate the functional outcome of forearm fractures in adults treated with Intramedullary TENS Fixation Methods: Patients with closed forearm fractures who were admitted to our Tertiary health care center between January 2019 to December 2022 and met the inclusion criteria were enrolled for the study. They were evaluated clinically and radiographically. Patients with both bone forearm or isolated radius or isolated Ulna fractures were included. Closed fracture reduction was done intra-operatively and the fractures were fixed with Intramedullary TENS (Titanium Elastic Nail System). Functional evaluation was done by Grace and Eversman evaluation criteria and DASH (Disabilities of Arm, Shoulder, and Hand) score. Range of motion of forearm in terms of Pronation and Supination and grip strength of forearm were evaluated. Patients were followed up for a period of a minimum of 1 Year. Results: In our study, 27 patients were enrolled. 16 were males (59.26%), 11 were females (40.74%). The mean age was found to be 36.30 with the range found to be 19 to 55 years. Fractures were found to be in the right side of the forearm in 17 patients (62.96%) and on the left side of the forearm in 10 patients (37.04%). The mean time of union was 11.30 ± 3.62 weeks (range of 7 to 18 weeks). Mean grip strength was found to be 52.22 ± 13.75 in the operated forearm and 54.67 ± 13.81 in the contralateral forearm with the difference found to be statistically insignificant with a p-value of 0.323. Pronation was found to be 76 ± 3.88⁰ in the operated forearm and 77.41 ± 1.82⁰ in the contralateral forearm with the difference being statistically insignificant with a p-value of 0.363. Supination was found to be 80.56 ± 4.36⁰ in the operated forearm and 82.56 ± 1.91⁰ in the contralateral forearm with the difference being statistically insignificant with a p-value of 0.194. Grace and Eversman score was found to be Excellent in 20 patients (74.07%), Good in 6 patients (22.22%), and acceptable in 1 patient (3.7%). DASH (Disabilities of Arm, Shoulder, and Hand) score was found to be 14.78 ± 9.86 with a range of 4.2-34.2. Conclusion: Intramedullary fixation of Forearm fractures with TENS is a reliable and minimally invasive technique and can be utilized to obtain good results.

Functional outcome of intramedullary nailing in radius ulna shaft fracture-an observational study in tertiary centre

Dr. Pathik Vala, Dr Jay Kumar R, Dr. Tapan Taviyad, Dr. Nirav Patel, Dr. Anand Vadhvana, Dr. Chirag Kotwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2714-2726

Background: The radius and ulna exist in a delicate anatomical balance that allows for pronation and supination of the hand in a 180-degree arc of motion. The anatomical bow of the radius allows for rotation around a fixed ulna, and its structure is critical for this motion. In the forearm fractures, the most common site is at the distal radius or ulna The forearm fractures may result from both low energy and high energy trauma. The most common mechanism of injury for such injuries is axial loading applied to the forearm, which is a fall onto an outstretched hand. Treatment options range from conservative to surgical methods. Conservative treatment includes Closed Reduction and plaster cast application. Surgical treatment comprises of Closed Reduction & Internal Fixation with Elastic Intramedullary nails & Open Reduction & Internal Fixation with plates.