A comparative study of both bone forearm fractures treated with intramedullary nailing vs plating in adults

Abstract

Background: The aim of this paper was to study the diaphyseal fractures of radius and ulna treated with nail/plate in adults and to choose the best modality of treatment.Methods: From May 2017 to December 2018 in Department of Orthopaedics, Krishna institute of medical sciences, Karad, total of 30 patients of both bones forearm fractures were treated. 15 were treated with open reduction and internal fixation using DCP plating or 1/3rd tubular plate and 15 with intramedullary nailing with radius and ulna nail. 30 patients were available for the follow up. Follow up was done for one year. Functional results were assessed by using Anderson et al criteria.Results: The time required for surgery in plating group was 62 minutes, and 42 minutes for nailing group. Average time of radiological union for radius & ulna was 13 weeks in nailing group and 16 weeks in plating group. There was one case of radiological non union with ulna nailing and there was no other associated complications.Conclusion: We conclude that open reduction and internal fixation with plating is the gold standard procedure for the treatment of both bone forearm fractures in adults. Intramedullary nailing is a less attractive alternative compared to plating as the normal movements are hampered.