The reduction and maintenance of the disphyseal fractures of the forearm bone are difficult due to the special rotational movement between two bones. Over the years various methods of operative treatmemt have been advocated, and good
method
must be selected as the fracture as the fracture level, the f4racture type, and the patient's general condition.
From May 1988 to August 1993, the authors have reviewed 50 patients of the forearm shaft fracture except the solitay radius or ulna fracture with minimum 1 year follow up which were treated in Department of Orthopedic Surgery, Korea University
Hospital.
@ES The results obtained were as follows;
@EN 1. The most common cause of injury was the traffic accident(38%) and he next was the fall down(24%). The most frequent level of the fracture was middle one-third(54%) and the most common type of the fracture was transverse fracture(64%).
The
treatment methods were 32 cases of the compression plate and screw fixation in the radius and ulna, and 18 cases of the compression plate and screw fixation in radius and the intramedullary nailing in ulna.
2. The average duration of the radiological union of cmopression plate and screw fixation of radius and ulna was 12.5 weeks in radius and 12.7 weeks in ulna, and 12.8 weeks of radius and 15.2 weeks of ulna in cases of compression plate
and
screw fixation of radius and intrameullary nailing of ulna.
3. According to Grace and Eversmann's evaluation, satisfactory results (Excellent and Good) were 85.7% of compression plate and screw fixation ad 83.3% of compression plate and screw fixation of radius and intramedullary nailing of uina.
4. Postoperative commplicaton were 2 cases of superficial wound infection and each 1 case of transient posterior interosseous nerve injury, non-union and non-union with metal failure in compression plate and screw fixation of both radius and
ulna,
and 1 cases of non-union in intramedullary nailing of the ulna.
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