Internal fixation of fractures of both bones forearm: Comparison of locked compression and limited contact dynamic
Kc Saikia1, Sk Bhuyan, Td Bhattacharya
1Department of Orthopaedics, Gauhati Medical College and Hospital, Guwahati, Assam, India.
Background:
The locking compression plate (LCP) with combination holes is a newer device in fracture fixation. We undertook a study comparing the LCP with limited contact dynamic compression plate (LC-DCP) in the treatment of diaphyseal fractures of both bones of the forearm.
Materials And Methods:
This is a prospective comparative study, 36 patients (18 in each group) with fractures of both the forearm bones (72 fractures) were treated with one of the two devices. The average age of the patients was 30.5 years (range 16-60 years) with mean followup of 2.1 years (range 1.5-2.8 years). The patients were assessed for fracture union and function and complications and by Disabilities of the Arm, Shoulder and Hand (DASH) score for patient related outcome at the latest followup.
Results:
There was no significant difference in two groups with respect to the range of movements or grip strength. One case had delayed union (LC-DCP group) and another had synostosis (LCP group). Plate removal was done in four cases within the study period with no refracture till the presentation of this report.
Conclusion:
LC plating is an effective treatment option for fractures of both bones of forearm. The present study could not prove its superiority over LC-DCP.
