Interlocking nailing of forearm fractures

Archives of Orthopaedic and Trauma Surgery
A WeckbachCh Weisser

Abstract

With the exception of forearm fractures, intramedullary techniques are preferred for osteosynthesis in the case of long-bone fractures. For the latter, however, the main problem remains insufficient stability against torsional forces resulting in high rates of non-union. This is why plate osteosynthesis by means of a DCP 3.5 or LC-DCP 3.5 is still being described as the standard procedure. In a prospective study, 32 patients (33 forearms) with fractures of one or both forearm bones were treated by implantation of 40 intramedullary ForeSight nails (ulna: 23; radius: 17). Clinical and radiographic follow-up was performed at 6, 12, 26, and--if needed--52 weeks postoperatively. Time to follow-up was 31.4 months on average (range 24-44 months). The average time to fracture healing for 36 fractures of 29 patients was 4.4 months. A free range of motion was seen in 86%, and only four forearms had a loss of pronation and supination. DASH score averaged at 13.7. There were few complications: non-union 1, delayed union 2, radioulnar synostosis 2, and infections 0. No refracture was seen after 19 implant removals so far. Average time needed per operation was 67 min, average time for fluoroscopy was 4.4 min. This intramedullary nail can do ...Continue Reading

References

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Citations

Dec 21, 2006·Surgical and Radiologic Anatomy : SRA·Gunther WindischWolfgang Pichler
Sep 3, 2011·Indian Journal of Orthopaedics·Himanshu Bansal
Jul 30, 2014·Archives of Orthopaedic and Trauma Surgery·Ahmet KöseTugay Tipi
May 29, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sang Ki LeeWon Sik Choy
May 17, 2011·The Journal of Hand Surgery·David B Jones, Sanjeev Kakar
Jul 31, 2010·Hand Clinics·Saqib Rehman, Gbolabo Sokunbi
Jun 6, 2007·Hand Clinics·Joshua P Moss, Donald K Bynum
Jun 27, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Leah M SchulteRobert J Neviaser
Dec 29, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Gursel SakaAkgun Alsaran
May 21, 2013·Computer Methods in Biomechanics and Biomedical Engineering·A Çelikİ Kaymaz
Jul 24, 2013·World Journal of Orthopedics·Fatih KüçükdurmazFuat Akpınar
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Young Ho LeeKyung Hwan Kim
Apr 22, 2020·Journal of Orthopaedic Surgery and Research·Johannes Christof HopfPol Maria Rommens
Aug 20, 2020·Hand Surgery and Rehabilitation·E UygurF Akpınar

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