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Interlocking Intramedullary Nailing of Forearm Shaft Fractures in Adults
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Sanglim Lee, Hee Sung Lee, Yerl Bo Sung, Jae Kwang Yum
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J Korean Fract Soc 2009;22(1):30-38. Published online January 31, 2009
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DOI: https://doi.org/10.12671/jkfs.2009.22.1.30
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 Abstract
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- PURPOSE
To evaluate the usefulness of interlocking intramedullary nailing for operative treatment of forearm shaft fractures in adults.
MATERIALS AND METHODS
Thirteen forearm shaft fractures in 12 patients were fixated with 13 Acumed forearm intramedullary rods (ulna: 8, radius: 5). The average age was 36.7 years and mean follow-up period was 15.2 months. The union time was measured when there was no tenderness over the fracture site and the bridging callus was evident in at least two sides of the cortex. The range of motion of the joint and the rotation of the forearm was measured and the functional results were evaluated with Grace and Eversmann's rating system.
RESULTS
Radiologic union was observed at 11.8 weeks postoperatively in 11 cases out of 13. No limitation of motion was observed. Nine had excellent or good functional results. In one Galeazzi fracture, radial shaft became displaced after nailing and should be re-stabilized with plate. Proximal interlocking screws were improperly inserted in one ulnar nail. Implants were removed in 7 cases. Removal guide screw was broken while removing the intramedullary nail in one case of ulnar shaft fracture.
CONCLUSION
Interlocking intramedullay nailing might be a treatment option for the middle 1/3 shaft fractures of the adult forearm bone with favorable results.
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Citations
Citations to this article as recorded by  - Comparison of minimally invasive plate osteosynthesis (MIPO) and open reduction and internal fixation (ORIF) for the treatment of radial shaft fractures: a retrospective study
Hyun-Tak Kang, Yang-Hoon Jo, Hong-Je Kang
BMC Musculoskeletal Disorders.2025;[Epub] CrossRef - Distal blocking screw augmentation in ulnar intramedullary nail fixation of adult forearm diaphyseal fractures
Yong Woo Kim, Sang Ki Lee, Young Sun An
Journal of Orthopaedic Surgery.2024;[Epub] CrossRef - Comparison of Bending Strength among Plate, Steinmann Pin, and Headless Compression Screw Fixations for Proximal Ulnar Shaft Fracture in Sawbones
Jinyoung Han, Jin Rok Oh, Jaewoong Um
Archives of Hand and Microsurgery.2020; 25(4): 267. CrossRef
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