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Volume 7 Issue 3 (March, 2019)

Original Articles

Optimizing Diaphyseal Fracture Treatment: Dynamic Compression Plate Management for Radius and Ulna Fractures
Surender Kumar

Background: A significant decline in function may occur as a consequence of fractures in the forearm bones unless they are effectively treated, even if the fractures heal adequately. This study aims to examine the principles of dynamic compression plates, evaluate the functional outcomes of patients concerning the rate of fracture union and its complications, and investigate the follow-up process and restoration of forearm function. Methods: At our center, 40 patients with diaphyseal fractures of the radius and ulna underwent treatment using open reduction and internal fixation employing a dynamic compression plate and screws. The newly introduced AO compression plating apparatus appeared to fulfill the fundamental goals of internal fixation, including (1) achieving anatomical reduction, (2) preserving vascularity, (3) providing mechanically stable fixation, and (4) facilitating swift joint mobilization. The use of the 3.5 mm dynamic compression plate yielded outstanding outcomes, particularly in cases of forearm bone fractures, effectively reducing the risk of refracture. Results: Results of the treatment were notably favorable, with excellent outcomes observed in 60% of the cases, good results in 30%, and fair results in 10%. Conclusion: In conclusion, the dynamic compression plate proves to be an excellent choice for stabilizing displaced diaphyseal fractures of forearm bones. The provision of stable and rigid internal fixation eliminates the necessity for external immobilization in cooperative patients.

 
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