Abstract
The aim of this study is to evaluate the results after reoperation of radial- and ulnar diaphyseal fractures using an interlocking intramedullary nail. A cohort of 30 patients, who were treated with a The aim of this study is to evaluate the results after reoperation of radial- and ulnar diaphyseal fractures using an interlocking intramedullary nail.
A cohort of 30 patients, who were treated with a ForeSight (Smith&Nephew, USA) intramedullary nail between the years 2000 and 2005, were included in the study. In total, pseudoarthrosis formation was seen in 21 patients, and forearm refractures were seen in 9 patients.
The average length of time between trauma and resurgery was 15 months (range of 4 to 32 months). Postoperatively, early and late complications were evaluated, as well as radiological and functional results.
During resurgery, a total of 42 intramedullary nails were used in 30 cases of forearm fracture. Radiological proof of healing was observed in all patients: this was seen in 25 patients after 6 months, 3 patients after 12 months, and in 2 patients after 18 months.
The average duration of healing was 18.45 weeks. Ranges of movement of the wrist, the forearm, and the elbow were classified according to the Anderson method.
Excellent results were achieved in 9 patients, good results in 13 patients, and sufficient results in 8 patients. No patient exhibited insufficient results or complete rigidity of the wrist or the elbow.
The results of our study corroborate the possibility of using stabilised intramedullary nailing for revision surgery of the forearm. The corrective surgery indicated must take into account the type of pseudoarthrosis present for a specific therapy, continually respecting the essentials of osteosynthesis stabilisation.
A selective operative technique, meticulous follow-up of infections, and promotion of bone healing are paramount.