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Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study

Background Unlike other injuries, adult diaphyseal forearm fractures necessitate open reduction and internal fixation. Fixation requires special attention to regaining the pre-injury length of both bones, alignment, proper apposition, and restoration of the radial bow. Although there are not many st...

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Autores principales: Balaji, Gopisankar, Loya, Vijaykumar, Patel, Sukruth A, Karunakaran, Govind
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718924/
https://www.ncbi.nlm.nih.gov/pubmed/36475160
http://dx.doi.org/10.7759/cureus.31035
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author Balaji, Gopisankar
Loya, Vijaykumar
Patel, Sukruth A
Karunakaran, Govind
author_facet Balaji, Gopisankar
Loya, Vijaykumar
Patel, Sukruth A
Karunakaran, Govind
author_sort Balaji, Gopisankar
collection PubMed
description Background Unlike other injuries, adult diaphyseal forearm fractures necessitate open reduction and internal fixation. Fixation requires special attention to regaining the pre-injury length of both bones, alignment, proper apposition, and restoration of the radial bow. Although there are not many studies on surgical results for forearm fractures that have initially received indigenous therapy, there are a few studies on the functional outcomes of surgery in forearm malunion and non-union. Our study aimed to investigate the functional outcomes of neglected forearm diaphyseal fractures treated by open reduction and internal fixation. Methodology A total of 14 patients who presented with neglected forearm fractures between November 1, 2014, and February 29, 2016, were included. All cases underwent open reduction and internal fixation along with bone grafting. The following parameters were recorded preoperatively and at the one-year follow-up: Disabilities of the Arm, Shoulder, and Hand (DASH) score, Grace-Eversmann score, grip strength, and lateral pinch. At the end of one year, the range of motion was assessed along with the radiological assessment of the radial bow and union. Results This study included 14 adult patients, nine men and five women, with a mean age of 37.92 years. There was a significant improvement in the DASH score. All fractures united clinically and radiologically with the mean time to union being 13.85 weeks (12-18). There was a statistically significant change in the range of motion, grip strength, lateral pinch, and restoration of the radial bow. Of the 14 patients, seven had Good outcomes on the Grace-Eversmann score and the rest had Acceptable outcomes. Conclusions Surgical intervention in neglected diaphyseal forearm fractures leads to a satisfactory outcome. This is revealed by significant subjective and objective improvement both clinically and radiologically.
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spelling pubmed-97189242022-12-05 Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study Balaji, Gopisankar Loya, Vijaykumar Patel, Sukruth A Karunakaran, Govind Cureus Orthopedics Background Unlike other injuries, adult diaphyseal forearm fractures necessitate open reduction and internal fixation. Fixation requires special attention to regaining the pre-injury length of both bones, alignment, proper apposition, and restoration of the radial bow. Although there are not many studies on surgical results for forearm fractures that have initially received indigenous therapy, there are a few studies on the functional outcomes of surgery in forearm malunion and non-union. Our study aimed to investigate the functional outcomes of neglected forearm diaphyseal fractures treated by open reduction and internal fixation. Methodology A total of 14 patients who presented with neglected forearm fractures between November 1, 2014, and February 29, 2016, were included. All cases underwent open reduction and internal fixation along with bone grafting. The following parameters were recorded preoperatively and at the one-year follow-up: Disabilities of the Arm, Shoulder, and Hand (DASH) score, Grace-Eversmann score, grip strength, and lateral pinch. At the end of one year, the range of motion was assessed along with the radiological assessment of the radial bow and union. Results This study included 14 adult patients, nine men and five women, with a mean age of 37.92 years. There was a significant improvement in the DASH score. All fractures united clinically and radiologically with the mean time to union being 13.85 weeks (12-18). There was a statistically significant change in the range of motion, grip strength, lateral pinch, and restoration of the radial bow. Of the 14 patients, seven had Good outcomes on the Grace-Eversmann score and the rest had Acceptable outcomes. Conclusions Surgical intervention in neglected diaphyseal forearm fractures leads to a satisfactory outcome. This is revealed by significant subjective and objective improvement both clinically and radiologically. Cureus 2022-11-02 /pmc/articles/PMC9718924/ /pubmed/36475160 http://dx.doi.org/10.7759/cureus.31035 Text en Copyright © 2022, Balaji et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Balaji, Gopisankar
Loya, Vijaykumar
Patel, Sukruth A
Karunakaran, Govind
Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study
title Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study
title_full Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study
title_fullStr Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study
title_full_unstemmed Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study
title_short Functional Outcomes of Neglected Forearm Diaphyseal Fractures Treated Surgically: A Prospective Cohort Study
title_sort functional outcomes of neglected forearm diaphyseal fractures treated surgically: a prospective cohort study
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718924/
https://www.ncbi.nlm.nih.gov/pubmed/36475160
http://dx.doi.org/10.7759/cureus.31035
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