Faheem Ahmed Memon, Muhammad Ali, Abbas Memon, Muhammad Ayoub Laghari, Khalique Ahmed Siddiqui.
Compression-plate fixation in diaphyseal fractures of the radius and ulna in adults.
J Pak Orthop Assoc Jan ;20(1):49-54.

Objective: To evaluate the results of AO small dynamic compression plate for the treatment of diaphyseal forearm fractures in adults. Study Design: A prospective study. Place and Duration of Study: Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad, between April 2001 to 2004. Patients and Methods: A total of 45 patients with fracture shaft of radius & ulna, who presented in emergency and out-patient department of LUMHS were studied. Thirty-six male and 9 female patients (age ranged 17-70 years) were treated by open reduction and internal fixation with 3.5 mm stainless steel DCP. All patients were followedup monthly till union. The mean duration being 14.2 months. Radiographic assessment was performed at 3, 6, 12 and 18 months. Clinical assessment regarding pain and function were undertaken at the final follow-up. Results: Two patients had delayed union, one had non-union, 2 developed superficial infection and 2 had deep infection. Tourniquet palsy of radius nerve developed in 2 cases. Ninety-four percent of the fractures healed with no or minimal callus formation. Conclusion: For displaced diaphyseal fractures of radius and ulna in adults, open reduction and internal fixation with 3.5 mm DCP is the treatment of choice.

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