To Study "A Clinical and Functional Outcome of Operatively Managed Cases of Both-bone Forearm Fractures: by Hybrid Fixation: a Study of 25 Cases" (Minimum 6 Months Follow Up)

Sagar Ramchandra Gengaje; Dipak S Parmar; Miteshkumar Sardarbhai Damor; Jatin G Datt

doi:10.36948/ijfmr.2025.v07i04.51963

To Study "A Clinical and Functional Outcome of Operatively Managed Cases of Both-bone Forearm Fractures: by Hybrid Fixation: a Study of 25 Cases" (Minimum 6 Months Follow Up)

Author(s)	Dr. Sagar Ramchandra Gengaje, Dr. Dipak S Parmar, Dr. Miteshkumar Sardarbhai Damor, Dr. Jatin G Datt
Country	India
Abstract	Background: the study was to evaluate result of hybrid fixation of both radius and ulna in both bone forearm fractures operated in form of radius plating and ulna nailing or radius nailing and ulna plating. As both the options has its prose and cones of operating procedure and post operative complications. Aim: To study "A Clinical and Functional Outcome of Operatively Managed Cases of Both-Bone Forearm Fractures: By hybrid Fixation Materials and methods: A prospective study of twenty-five (25) patients in the age group of 18-70 years with diaphyseal fractures of both bones forearm admitted in orthopaedic department in Guru Govind Singh hospital and Shri. M. P. Shah Government Medical College , Jamnagar during the period of 18 month, meeting the inclusion criterion are the subjects for the present study. The complete data was collected by taking the history of illness and by doing detailed clinical examinations and relevant investigations. Result : Among 25 patients 3 (12%) patients gone in to complete failure and currently under treatment.5(20%) patients gone for secondary procedure and debridement and recovered well. 2 (4%) patients had complaint of implant impingement and implant was removed and recovered with excellent result. There was 17 (68%) patients with excellent results without any complications. Conclusion: • This study found that failure of the hybrid fixation is commonly associated with patients operated with open fractures of radius operated in form of radius plating and the reason is complications associated with infective non-union in radius operated with dorsal Thompson approach. • Patients operated with combination of radius nailing and ulna plating gives excellent results in all patients so this combination of hybrid fixation is reliable option in radius ulna diaphyseal fracture as there is less tissue damage , less chances of PIN palsy ,less chance of infection and better functional outcome as compared to radius-ulna plating and radius ulna nailing.
Keywords	both bone forearm fracture, hybrid fixation, titanium elastic nailing system, limited contact dynamic compression plating, posterior interosseous nerve, intramedullary nailing, extensor pollicis longus
Field	Medical / Pharmacy
Published In	Volume 7, Issue 4, July-August 2025
Published On	2025-07-25
DOI	https://doi.org/10.36948/ijfmr.2025.v07i04.51963
Short DOI	https://doi.org/g9vpxt

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To Study "A Clinical and Functional Outcome of Operatively Managed Cases of Both-bone Forearm Fractures: by Hybrid Fixation: a Study of 25 Cases" (Minimum 6 Months Follow Up)

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