Screw elastic intramedullary nail for the management of adult forearm fractures

Gadegone, Wasudeo; Salphale, Yogesh S.; Lokhande, Vijayanand
January 2012
Indian Journal of Orthopaedics;Jan/Feb2012, Vol. 46 Issue 1, p65
Academic Journal
Background: The failure of the conventional nailing of both forearm bones or isolated fractures of radius and ulna pose a potential problem of nail migration and rotational instability, despite the best reduction. The purpose of this paper is to evaluate the results of screw elastic intramedullary nail for the treatment of adult diaphyseal fractures of both forearm bones, which effectively addresses the problems associated with the conventional nailing systems for the forearm fractures. Materials and Methods: Seventy-six adults with forearm fractures (radius and ulna or isolated fracture of the single bone) were retrospectively evaluated. Fifty males and 26 females with the mean age of 38 years (range, 18-70 years) underwent closed reduction and screw intramedullary nail fixation. Ten patients required limited open reduction. The fractures were classified according to the AO/OTA system. The average followup was 12 months (range, 6 to 18 months). Results: The mean surgical time was 45 minutes (35 to 65 minutes). The meantime to union was 14 weeks (10-21 weeks). The results were graded as excellent in 50, good in 18 patients, and acceptable in eight patients, using the criteria of Grace and Eversman. We had superficial infection in three cases, one case of delayed infection, painful bursa in two cases, delayed union in two cases, malunion with dislocation of the DRUJ in two cases, injury to the extensor tendon of the thumb in one case, and one case of incomplete radioulnar synostosis. Conclusion: Closed reduction and internal fixation of forearm fractures by screw intramedullary nails reestablishes the near normal relationship of the fractured fragments. Screw intramedullary nail effectively controls both rotatory forces and the migration of the nail. It produces excellent clinical results in isolated fractures of either bones, as well as both bones of the forearm in adults.


Related Articles

  • The Effect of Fracture of Ulnar Styloid on Rotational Movements of the Forearm after Extraarticular Fractures of Distal Radius. Karbalaeikhani, Ali; Saied, Alireza; Sadeghifar, Amirreza // Surgical Science;Jun2011, Vol. 2 Issue 4, p215 

    Introduction: Since distal radius fractures are among the most common fractures encountered in orthopedics and one of their common complications is restriction of rotational movements of the wrist and forearm, identification of factors affecting this loss of motion is of importance. This study...

  • Isolated type IIIA fracture of the coronoid process of ulna: A case report and brief review of literature. Vishwanath, Jashan; Agarwal, Ayush; Mehtani, Anil; Kapoor, Sudhir K. // Archives of Orthopaedic & Trauma Surgery;Mar2002, Vol. 122 Issue 3, p184 

    A very rare, Regan and Morrey's type IIIA fracture of the coronoid process of ulna is presented and discussed with a review of the literature. The operative approach to be used is emphasised. Open reduction and internal fixation render the elbow stable, and a good range of motion can be achieved...

  • Monteggia's fracture. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p513 

    An encyclopedia entry for "Monteggia's fracture" is presented. It refers to the fracture of the ulna or the bone on the inner side of the forearm located below the elbow. It is accompanied by a dislocation of the radius, the outer forearm bone, from the elbow.

  • WYKORZYSTANIE ÅšRÓDSZPIKOWEGO, ELASTYCZNIE STABILIZUJÄ„CEGO ZESPOLENIA W LECZENIU ZŁAMAŃ KOÅšCI PRZEDRAMIENIA U DZIECI. Bajor, Grzegorz; Bijata, Wojciech; Starzak, Piotr; Bohosiewicz, Janusz // Przeglad Pediatryczny;2007, Vol. 37 Issue 1, p106 

    The aim of this study is to present advantages of elastic stable intramedullary nailing ESIN in treatment of children with forearm shaft fractures, based on our experience. Material and methods: Between January 2001 and December 2003, 32 children with forearm shaft fractures were treated with...

  • Atypical forearm fractures associated with long-term use of bisphosphonate. Moon, Jungyu; Bither, Nitin; Lee, Taehun // Archives of Orthopaedic & Trauma Surgery;Jul2013, Vol. 133 Issue 7, p889 

    Recent reports on atypical femoral fracture have raised concerns about the long-term use of bisphosphonate. More recent case series focus specifically on the subtrochanteric fractures. But, there is relatively rarity and unawareness of atypical fracture in upper extremity. We report forearm...

  • Alternative treatment of forearm double fractures: new design intramedullary nail. Köse, Ahmet; Aydın, Ali; Ezirmik, Naci; Can, Cahit; Topal, Murat; Tipi, Tugay // Archives of Orthopaedic & Trauma Surgery;Oct2014, Vol. 134 Issue 10, p1387 

    Objective: This study aims to evaluate the results of intramedullary nail treatment in surgical treatment of adult displaced radius and ulna diaphyseal fractures. Patients and methods: Eighteen patients (36 forearm fractures) who underwent intramedullary nail treatment due to radius and ulna...

  • Monteggia fractures in adults. Ramisetty, N.M.; Revell, M.; Porter, K.M.; Geraves, I. // Trauma;Jan2004, Vol. 6 Issue 1, p13 

    Monteggia fractures are part of a spectrum of forearm injuries and commonly result either from a fall on the outstretched arm with forced pronation or from a direct injury. An understanding of the mechanism of injury and an appropriate clinical examination followed by operative intervention is...

  • Complex volar dislocation of the distal radioulnar joint in a Galleazi variant associated with interposition of the ulnar neurovascular bundle. Magill, Paul; Harrington, Paul // European Journal of Orthopaedic Surgery & Traumatology;May2009, Vol. 19 Issue 4, p265 

    Galleazi type fracture dislocations are sometimes associated with complex dorsal dislocation of the distal radioulnar joint due to interposition of the extensor carpi ulnaris tendon. We present the first reported case of complex volar distal radioulnar joint dislocation in a Galleazi variant...

  • Multiple forearm diaphyseal fracture: reduction and plaster cast control at the end of growth. Boero, Silvio; Michelis, Maria; Calevo, Maria; Stella, Marco // International Orthopaedics;Dec2007, Vol. 31 Issue 6, p807 

    The authors followed up 20 patients with multiple diaphyseal fractures of the radius and ulna who were treated nonoperatively and who healed with axial deviation >5° in at least one plane 20.4±6.7 years after radiographic evidence of fracture union. Mean age at follow-up was 28.6±6.4...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics