A comparative study of functional outcome of fractures of both bone forearm treated by locking compression plate and dynamic compression plate

Abstract

Background: The forearm, being a component of upper limb serves important movements that are important in activities of daily living. The forearm, in combination with the proximal and distal radioulnar joints, allows pronation and supination which in turn helps hand, to perform multi axial movements [1]. With mechanized farming in India and industrialization, fractures of forearm bones have become more common. Fracture of the forearm bones may result in severe loss of function unless adequately treated. Hence good anatomical reduction and internal fixation of these fractures is necessary to restore function [2]. Closed reduction which was employed in earlier days yielded unsatisfactory results from either non union or loss of motion. Despite the combination of these different treatment techniques no compromises were made with regard to application as a compression plate or as a bridging device in the form of an internal fixation. LCP (Locking compression plate) is a product of these combinations and is in line with the latest plating techniques, the aim of which is to achieve the smallest surgical incision and to preserve blood supply to the bone and adjacent soft tissues and stability at the fracture site [6]. LCP has got features of both LC-DCP and a PC-Fix as it uses screw heads that are conically threaded on the undersurface and create an angular stable plate screw device 6. This type of plate fixation relies on the threaded plate-screw interface to lock the bone fragments in position and do not require friction between the plate and bone as in conventional plating [6]. The functional outcome was certified using