Nail with locking screw vs. DCP Fixation for Radius Ulna Fractures A prospective study

Abstract

Introduction: Both bone forearm fractures are more commonly seen in childrens and
elderly population. In a randomized prospective study to compare the functional and
radiological outcome of Nail with locking screw and Dynamic Compression
plate(DCP) used in fixation of both bone forearm fractures Methods:46Patientswith
Both bone forearm fracture streated with Nail with locking screw and DCP in last 1
year were enrolled in the study. Intraoperative variables-surgical time, blood loss,
fluoros copy time and post-operative variables-unionrate, changein functional
outcome in terms of Grace- Ewersmann criteria & Radiological findings were
studied and compared between both the groups.
Results: The average age of the patients was 35 years .Out of 46 patients 30 males
and 16 females patients were there In our series we found that patients with DCP had
increased intraoperative blood loss, longer durationof surgery, and required longer
time for mobilization while patients who underwent nail with locking screw had
lower intraoperative blood loss, shorter duration of surgery, and allowed early
mobilization. The patient streated with Nail with locking screw started early
ambulation
Conclusions: Nail with locking screwis better than DC Pin both bone forearm
fractures in terms of decreased blood loss, reduced duration of surgery, early weight
bearing and mobilization, reduced hospital stay, decrease drisk of infection and
complications