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Fractures of the radius and ulna in adults: An analysis of factors affecting outcome

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Original Article

Author Details : Nandkishor Goyal*, Shailendra Patil, Bhavatu Patel, Avanish Rai

Volume : 5, Issue : 4, Year : 2019

Article Page : 243-246

https://doi.org/10.18231/j.ijos.2019.048

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Abstract

Authors in group collected the data for fracture of the shaft of radius and ulna in 80 adult patients.
Study Period: 1st October 2014-1st October 2017
The aim of the study was to determine relationship of the subjective, objective and radiographic method
of treatment. The type of fractures, both open and closed, grade of communition and other injuries were
assessed in patients in term of degree of pain, rotation of forearm and return to the same work following
injury and the patients treated with ORIF and plate fixation were having better result in all aspect assessed
than closed reduction and plaster cast. Factor most often associated with return to same work after injury
are better with ORIF (Open reduction and internal fixation).
Longer time for union and higher rate of infection were the only disadvantages of ORIF over closed
reduction, otherwise outcomes were same for both the methods. Presence of other injuries often
compromise the end result because of more pain , greater forearm rotation loss and decline in return to
same work. The satisfaction and work status in assessment of outcome, concept of functional malunion,
interpretation of radiographic finding should help in counselling the patient as to economic and functional
impact of these injuries.

Keywords: Fracture radius-ulna open reduction with plate fixation, Closed reduction with nailing.

How to cite : Goyal N, Patil S, Patel B, Rai A, Fractures of the radius and ulna in adults: An analysis of factors affecting outcome. Indian J Orthop Surg 2019;5(4):243-246

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