A prospective comparative study of internal fixation of diaphyseal forearm fractures with LCP and DCP in above 50 year age group

Authors

  • P. Amarnath Reddy Department of Orthopedics, Osmania Medical College and Hospital, Koti, Hyderabad, Telangana, India
  • C. Dinesh Reddy Department of Orthopedics, Osmania Medical College and Hospital, Koti, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20181807

Keywords:

Fracture, Forearm bones, Comparison, Outcome

Abstract

Background: In orthopedic practice forearm bone fracture is commonly encountered fracture. Forearm plays a vital role in day to day activities without which a person is unable to perform his role in his own life. It has been estimated that around 31% of the total fractures of the upper limb are of forearm fractures. The objective of the study was to study and compare internal fixation of diaphyseal forearm fractures with LCP and DCP in above 50 year age group

Methods: Present study was hospital based study. This was a prospective study. A total of 50 patients with fracture of both bones in the forearm were included in the present study. They were divided randomly as 25 patients in each group. They were followed for about eight months.

Results: Both the groups in the present study were found to be comparable in terms of age, sex, mode of injury, type of injury and level of fracture. It took only 13.83 weeks for radiological union in LCP group and it took a longer in DCP group of 15.33 weeks. This difference was found to be statistically significant. Overall functional results were almost same in both the groups. Excellent in 36 cases (19 in LCP, 17 in DCP), Good in 10 cases (4 in LCP, 6 in DCP), fair in 4 cases (2 in each group).

Conclusions: It has been concluded from the present study that union of fracture after LCP had taken significantly lesser time as compared to the DCP technique. Hence especially in persons above 50 years, LCP should be used.

References

Smith JEM. Internal fixation in treatment of fractures of shaft of radius and ulna in adults, the value of delayed operations in prevention of non-union. J Bone Joint Surg. 1959;41B:122-31.

Gartland DE. Forearm fractures in head injured adults. Clin Orthop. 1983;176:190-5.

Muller ME, Allogower M, Schneider R, Willenegger H. Manual of internal fixation techniques recommended by AO group. 3rd ed. New York: Springer–Verlag Berlin, 1990.

Angadi V, Patil AB, Nagnur R, Palled GS. The efficacy of dynamic compression plate versus locking compression plate with regards to fracture fixation, implant fixation and bone reaction Int J Orthop Sci. 2016;2(3):85-7.

Sharma S, Dang H, Sharma V, Sharma S. Treatment of diaphyseal forearm bone fractures by Locking Compression Plate (LCP). The Internet J Orthop Surg. 2008;11(1):1-5.

Anderson LD, Sisk TD, Tooms RE, Park WI. Compression plate fixation in acute diaphyseal fractures of the radius and ulna. J Bone Joint Surg. 1975;57-A:287-97.

Leung F, Chow SP. Locking compression plate in the treatment of forearm fractures A prospective study. J Orthop Surg (Hong Kong). 2006;14(3):291-4.

Augusto S, Cooper SJ, Sinclair FW. Forearm fractures. J Bone Joint Surg. 1975;57-A(3):297-304.

Anderson LD, Sisk D, Tooms RE, Park WI. Compression plate fixation in acute diaphyseal fractures of the radius and ulna. J Bone Joint Surg Am. 1975;57:287.

Hadden WA, Reschauer R, Seggl W. Results of AO plate fixation of forearm shaft fractures in adults. Injury. 1983;15:44-52.

Allgower M, Ehrsam R, Ganz R et al. Clinical experience with a new compression plate "DCP". Acta Orthop Scand. 1969;125:45-63.

Perren SM. The concept of biological plating using the limited contact dynamic compression plate {LC-DCP}, Injury. 1991;22(1):1-41.

Stern PJ, Drury WJ. Complications of plate fixation of forearm fractures. Clin Orthop. 1983;175:25-9.

Perren SM. Basic Aspect of internal fixation, chapter-1, In: Manual of Internal Fixation, 3rd ed, Muller ME, Allgower M, Scheider R, Willenegger H, editors. Berlin, Springer Verlag; 1991: 240-242.

Henle P, Ortlies K, Kuminak K, Muller CA, Suedkamp NP. Problems of bridging fixation for treatment of forearm shaft fractures with locking compression plate. Arch Orthop Trauma Surg. 2011;131:85-91.

Nasab SAM, Sarrafan N, Atri H, Aliabadi G. Outcome of forearm shaft fractures in adults treated by open reduction and internal fixation with DCP. Pak J Med Sci. 2012;28(1):45-8.

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Published

2018-04-25

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Original Research Articles