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Journal of Orthopedic Education

Volume  3, Issue 2, Jul-Dec 2017, Pages 141-147
 

Original Article

Evaluation of the Functional, Clinical and Radiological Outcome and Complications of the Diaphyseal Fractures of Radius and Ulna in Adolescents Treated with Titanium Elastic Nail

Manuj Aggarwal1, Amit jain2, R.C. Meena3, R.P. Assat4, Jakir Husain2, Vineet Maheswari1

1Junior Resident 2Assistant Professor 3Sr. Professor and HOD, 4Sr. Professor, Department of Orthopedics, SMS Medical College, Jaipur-302004, Rajasthan.

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DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.2

Abstract

Introduction: Intramedullary fixation with Titanium Elastic nail has become a favored stabilization technique for adolescent’s population as Shorter operative time, Decrease scarring and decreased operative dissection. Objective : Evaluate the functional clinical and radiological outcome and complications of the diaphyseal fractures of radius and ulna in adolescents treated with titanium elastic nail. Methodology: Hospital based Interventional, prospective study was conducted during March 2014 to Feb. 2015 at SMS Hospital Jaipur on patients 12-18years of age with 30 patients, with diaphyseal both forearm bone fr.actures. Indication: Open injury, unstable fracture pattern, Inability to achieve an acceptable reduction, loss of reduction. All fractures was be treated with flexible intramedullary nail fixation. Observations: In majority of cases no secondary procedure require, only 4 cases require SSG which was open injury Average blood loss was 51.66 % Out 30 patient 29 patient had radiological and clinical evidence of solid union& one ulna was completely undergo in nonunion. The minimum time taken for union was 8 to 12 weeks for radius in 83% and 10-14 weeks for ulna 68% of patients. Conclusion: The use of titanium elastic nail is the ideal implant in the management of Fractures both forearm bones in adolescents population.

Keywords: Diaphysis Fractures of Radius and Ulna; Adolescents; Titanium Elastic Nail; Outcome. 


Corresponding Author : Manuj Aggarwal, Junior Resident, Department of Orthopedics, SMS Medical College, Jaipur - 302004, Rajasthan.