Comparative Study
Journal Article
Add like
Add dislike
Add to saved papers

Internal fixation of diaphyseal fractures of the forearm: a retrospective comparison of hybrid fixation versus dual plating.

OBJECTIVES: To compare open reduction and internal fixation using dual plating to a hybrid fixation construct with intramedullary nailing of the ulna and plate fixation of the radius in both-bone forearm fractures.

DESIGN: Retrospective comparison study.

SETTING: Level I trauma center.

PATIENTS: A total of 56 skeletally mature individuals treated surgically for acute both-bone forearm fractures between July 2005 and December 2009. Monteggia, Galeazzi, and pathologic fractures, patients treated with external fixation and patients with traumatic brain injuries were excluded.

INTERVENTION: Twenty-seven patients were treated with dual plate fixation, and 29 patients were treated using a hybrid fixation construct.

MAIN OUTCOME MEASURES: Time to union, range of motion as assessed using a Grace and Eversmann score, and presence of complications.

RESULTS: There was no significant difference in either time to union or Grace and Eversmann scores between the 2 groups. There was 1 nonunion in each of the 2 groups. Nine overall complications, outside nonunions, were reported: 5 in the dual plating group and 4 in the hybrid fixation group.

CONCLUSIONS: Hybrid fixation, using open reduction and internal fixation with a plate-and-screw construct on the radius and closed--or minimally open--reduction and interlocked intramedullary fixation of the ulna, is an acceptable method for treating both-bone diaphyseal forearm fractures in skeletally mature patients.

LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

Related Resources

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app