Comparative Study of Intramedullary Nailing Versus Locking Compression Plating In Adult Diaphyseal Fractures of Forearm Bones

Intramedullary Nailing Versus Locking Compression Plating

Abstract

Background: Natural forces within us are true healers of disease Hippocrates Diaphyseal fractures of forearm bones are very common orthopaedic injury. A range of products are available for its internal fixation. This study was conducted with an aim to determine whether ORIF with plates or intramedullary nailing, is able to produce better clinical outcome. The outcome was assesed on the basis of operating time, union time, functional recovery, complication and cost to patient. Subjects and Methods: The study was conducted in Muzaffar Nagar medical college, Shyamal Trauma & child care and Vedanti Hospital Muzaffar Nagar (U.P.), from 2009 to June 2017. Results: In all 117 patients were treated with intramedullary nailing or plating of adult diaphyseal fracture of fore arm both bone and single bone. Of this 17 were discarded for various reasons and 100 were considered for the present study. Biomechanically, unlocked intramedullary nail (IM) attain stability by a curvature mismatch between bone and the nail, inducing a longitudinal interference fit. If curvature misfit is large reaming is required. Conclusion: Open reduction and internal fixation (ORIF) at present is thought to be superior method to treat such fractures. We have used commonly available locking compression plates and square intramedullary nail of various diameters.