Clinical Investigation

Surgical Treatment In Adult Forearm Fractures

  • Mehmet Rüstü MIDILLIOGLU
  • Fatih EKSIOGLU

Received Date: 30.11.2000 Accepted Date: 26.06.2001 Meandros Med Dent J 2001;2(2):5-9

Purpose: To evaluate the forearm fractures that underwent surgical treatment in terms of etiology and surgical outcome. Patients and Methods: Eighty-eight adults with forearm fractures underwent surgical treatment. Falls and traffic accidents were the most frequent two causes. Out of 88 fractures, the mode of treatment was closed in 82, open in 6. Semitubuler plate, DCP, plate plaque, Mennen's plate and intermeduller fixation were used in the treatment of close fractures. External fixators were used in cases with open fractures. Results: Seventy-four patients were male and 14 were female. The mean age of the patients was 18.4 (14-62 years). Fracture duration was 7.8 (3-10) days and the mean hospitalization period was 18.0 days. The mean postoperative follow-up was 51.3 (6-107) months. The mean time required for union was 17.1 weeks for all cases. This time was 16.8 weeks in cases with a semitubular plate. According to Anderson' criteria, the rate of perfect cases was 73.9, the rate of successful cases was %14.8 andtheoverall succes rate was %88.7. The complications were loosened plate and failed reduction (5.6%), delayed union (1.1%), superficial infection (5.6%), deep infection(1.1%). Conclusion: The successful outcome was reached by compression plating in the forearm fractures in adults. Due to insufficient fixation and thinness even in cast, a semitubuler plate was broken in one of our cases. Because of the social status of the patients and presence of contamination, we applied external fixation in Type I and II open fractures instead of open reduction and internal fixation.

Keywords: adult forearm fractures, compression plate, surgical treatment