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Abstract
A series of 156 diaphyseal forearm fractures in 108 patients were treated by internal
fixation between 1980 and 1985. These cases have been critically reviewed in the light
of the present knowledge and expertise of internal fixation. A total of 122 fractures
were fixed with ASIF compression plates. An analysis of results shows that 17 patients
(15.7 per cent) had a poor clinical symptom result, 29 patients (26.9 per cent) had
a poor functional score, 14 (13 per cent) had a poor subjective and employment score,
and 40 fractures (32 per cent) united after 18 weeks. Non-union rate was 10.3 per
cent, the infection rate was 5.5 per cent and there were three cases (2.7 per cent)
of synostosis. Only six patients had primary cancellous bone grafting. A statistical
analysis of the variables which may affect the result shows that the most important
factors are accurate reduction of the fracture, correct use of interfragmentary screw
fixation and rigid fixation. Failure to observe these rules will produce a poor result.
Fracture complexity and comminution, especially if combined with a butterfly fragment,
predispose to a poor result.
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References
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Article info
Publication history
Accepted:
August 9,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
