J Korean Orthop Assoc.  1984 Apr;19(2):339-350. 10.4055/jkoa.1984.19.2.339.

A Clinical Result of the Fracture of the Forearm Bone Shaft in Adult

• Rah SK
• Choi CU
• Choi WS
• Sung KI
• Kwon JW

• KMID: 2446622
• DOI: http://doi.org/10.4055/jkoa.1984.19.2.339

Abstract

Thirty-seven patient who had forearm bone fracture were treated by four different methods at the Department of Orthopedic Surgery, Soonchunhyang University Hospital from Jan. 1979 to March 1982. The obtained results are as follow; 1. Nineteen cases out of 37 cases of the forearm bone fracture were both forearm bones, 10 cases were ulna and 8 were radius fracture. 2. Twenty-three cases out of 37 were closed and 13 cases were open fracture, respectably. 3. The applied treatment were manual reduction with cast immobilization, intramedullary naliing, plate and screw fixation and combined. 4. Mean duration of primary bone union of the forerm bone fracture which were treated by plate and screw was 12. 4 weeks, combined fixation was 12.8 weeks, intramedullary nailing was 15.3 weeks and that of manual reduction and cast was 16 weeks in order. 5. Functional result was classified according to the rating system of Smith and Sage. The best method was plate and screw and the worst was manual reduction and cast immobilization. 6. D.C.P. fixation seems to be one of the best method in this series. Combined method, in a way of D.C.P. for radius and I-M nailing for ulna, is a method when shortening of operation time is inevitable.

Keyword

Forearm bone; Fracture; Treatment

MeSH Terms

Adult*
Forearm*
Fracture Fixation, Intramedullary
Fractures, Bone
Fractures, Open
Humans
Immobilization
Methods
Orthopedics
Radius
Radius Fractures
Ulna