New Nailing System Used in Open Diaphyseal Fractures

Introduction: Stabilization of open fractures is an important step in managing these injuries. Intratramedullary nailing of forearm fractures in adults is an acceptable and preferred method for internal fixation. In this study we tried to evaluate the functional end results of using a new nailing system in open diaphyseal fractures of forearm.
Patients and Method: Between May 2011 and February 2015 (45 months), Fifty-three patients (106 fractures) with open diaphyseal forearm fractures had been treated and followed using new intramedullary nailing technique (Be. Te. Radial & Ulnar Nails-Santam etal,) as a method of fixation and assessing their effectiveness clinically and radiologically. There were 17 females and 36 males. Their age ranged from 25 years to 45 years (mean 32 years).
Results: The final functional outcome was assessed utilizing Mayo Elbow Performance Score (MEPS) based on the parameters of pain, range of motions, stability and activities of daily life (ADL). The results of the study were: 25 (47.2%) Excellent, 20 (37.7%) Good, 6 (11.3%) Fair and 2(3.8%) Poor.
Conclusion: The use of intramedullary nailing in open diaphyseal forearm fractures in adults is recommended and may be alternative to plate osteosynthesis because of minimal surgical exposure, less scarring and disfigurement, lower risk of infection, lower risk of soft tissue injury, less risk of refracture after implant removal and minimal period of convalescence.


Mohamed Abdel-AAl, Abdel-Aleem-Aziz Atallah and Abdel-Aleem M

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