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Candidate Name:
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Center Number:
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Candidate Number:
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6
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Academic:
General Training:
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D7
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YTreatment of Adult Forearm Diaphyseal Fractures: A Comparison of Plate Fixation and New-generation Locked Intramedullary Nail
Treatment of Adult Forearm Diaphyseal Fractures: A Comparison of Plate Fixation and New-generation Locked Intramedullary Nail oDmEK
Background: This study retrospectively evaluated patients with diaphyseal forearm fractures treated with plate osteosynthesis or intramedullary nailing (IMN). We compared their functional and radiological results.
Methods: Forty-six patients were included in this study. Of these, 25 were treated with plate osteosynthesis and 21 with intramedullary nailing. Twenty-seven (75. 8%) patients were men and 19 (24. 2%) were women. The mean age of the plate group was 32. 4 (range: 19–67) and that of the IMN group was 28. 8 (range: 18–64). The mean follow-up period was 24. 8 months (12-48 months) in plate group and 22. 3 months (12–36 months) in IMN group.
Results: The mean union time was 13. 6 weeks in the plate group and 10. 9 weeks in the IMN group. The union was achieved in 24 of 25 patients in the plate group (96%) and all patients in the IMN group (100%). The mean operating time was 82. 2 min (range, 0–130 min) in the plate group and 69. 7 min (range, 45–110 min) in the IMN group. The mean fluoroscopy time was 2. 7 in plate group and 21. 3 seconds in the IMN group. Complete range of motion of elbow and wrist was achieved in all patients. There was no significant difference between the two groups in terms of forearm pronation and supination, grip strength, DASH score, and Grace-Eversmann evaluation criteria.
Conclusion: The locked IMNs are viable alternatives to ORIF with plate osteosynthesis in adult diaphyseal forearm fractures with similar union rates, functional scores, and shorter operating times.
Background: This study
retrospectively
evaluated patients
with diaphyseal
forearm fractures treated with plate
osteosynthesis
or intramedullary
nailing (IMN). We compared their functional and radiological results.
Methods: Forty-six patients
were included
in this study. Of these, 25 were treated
with plate
osteosynthesis
and 21 with intramedullary
nailing. Twenty-seven (75. 8%) patients
were men
and 19 (24. 2%) were women. The mean
age of the plate
group
was 32. 4 (range
: 19–67) and that of the IMN group
was 28. 8 (range
: 18–64). The mean
follow-up period was 24. 8 months
(12-48 months)
in plate
group
and 22. 3 months
(12–36 months)
in IMN group.
Results: The mean
union time
was 13. 6 weeks in the plate
group
and 10. 9 weeks in the IMN group
. The union was achieved
in 24 of 25 patients
in the plate
group
(96%) and all patients
in the IMN group
(100%). The mean
operating time
was 82. 2 min
(range
, 0–130 min)
in the plate
group
and 69. 7 min
(range
, 45–110 min)
in the IMN group
. The mean
fluoroscopy time
was 2. 7 in plate
group
and 21. 3 seconds in the IMN group
. Complete range
of motion of elbow and wrist was achieved
in all patients
. There was no significant difference between the two groups
in terms of forearm pronation and supination
, grip strength, DASH score, and Grace-Eversmann
evaluation criteria.
Conclusion: The locked IMNs
are viable alternatives to ORIF
with plate
osteosynthesis
in adult diaphyseal
forearm fractures with similar union rates, functional scores, and shorter operating times
. Do not write below this line
Official use only
CC
5.5
LR
5.5
GR
6.5
TA
5.0
OVERALL BAND SCORE
5.5
IELTS essay Treatment of Adult Forearm Diaphyseal Fractures: A Comparison of Plate Fixation and New-generation Locked Intramedullary Nail
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patients
diaphyseal
plate
osteosynthesis
intramedullary
patients
plate
osteosynthesis
intramedullary
patients
mean
plate
group
(range
group
(range
mean
months
months)
plate
group
months
months)
mean
time
plate
group
group
patients
plate
group
patients
group
mean
time
min
(range
min)
plate
group
min
(range
min)
group
mean
time
plate
group
group
range
patients
groups
supination
Grace-Eversmann
IMNs
ORIF
plate
osteosynthesis
diaphyseal
times
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