Abstract: Objective: To evaluate the functional and radiological outcome of both bone forearm fractures treated with open reduction and internal fixation with compression plates and screws.
Materials and Methods: A prospective study of cases of both bone forearm fractures meeting the inclusion criteria who were admitted to Government Medical College, Thrissur between 1-01-2021 to 1-01-2022 was carried out. Anatomical reduction of fragments was attempted through open reduction and internal fixation using compression plates and screws. After a minimum follow-up period of 6 months, the functional and radiological outcomes were studied using the Anderson scoring system. The values were evaluated using Microsoft Excel Software.
Results: A series of 26 patients with both bone forearm fractures were studied comprising of 17 males and 9 females. The largest contribution came from the age group of 20-35 years (65%). Road Traffic Accidents were the most commonest mode of injury (69%). 2 cases were found to develop a post-operative infection. Postoperatively excellent scores were achieved in 20 cases (77%) and satisfactory results in 5 cases (19%) and 1 case (4%) showed unsatisfactory results. The average time of union of fracture was 10.23 weeks.
Conclusions: This single centre with a small to medium size population series demonstrated good to excellent results in the majority of patients after open reduction and internal fixation of both bone forearm fractures with compression plating in adults, with outcomes and complications comparable to other studies in the literature. This study supports the finding, that treatment of both bone forearm fractures by compression plating in adults results in an improved functional and radiological outcome.
