Arch Hand Microsurg 2018; 23(1): 46-53  
Clinical Outcome of Forearm Segmental Fracture after Open Reduction and Plate Fixation
In Tae Hong, Dong Won Kim, Gyu Chol Jang, Soo Hong Han
Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea
Correspondence to: Soo Hong Han
Department of Orthopedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea
TEL: +82-31-780-6074, FAX: +82-31-708-3578, E-mail: hsoohong@cha.ac.kr
Received: November 21, 2017; Revised: January 21, 2018; Accepted: January 31, 2018; Published online: March 1, 2018.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Forearm segmental fractures are occasionally managed by orthopedic surgeon even though the prevalence is much lower than simple fractures. However there are only a few studies dealing the treatment and results of this type of fracture in South Korea. Authors present the clinical results of forearm segmental fractures after open reduction and plate fixation.
Methods: Medical records and radiographs of 12 patients who were treated with open reduction and internal fixation for forearm segmental fracture were reviewed retrospectively. Fracture union was analyzed by serial radiographs. Clinical results were analyzed with visual analogue scale (VAS), disabilities of the arm, shoulder, and hand (DASH) score, grip strength and range of motion of relevant joints at the final follow-up.
Results: Bone union was achieved in all cases without additional procedure. The average time of bone union was 19.7 weeks. Average VAS was 2.08 and DASH score was 11.85 at the final follow-up. Average grip strength was 22.2 kg (contralateral limb 26.8 kg). Average range of motion of elbow joint was 0°-137°, and wrist flexion, extension, pronation, and supination was 65°, 74°, 84°, and 87°.
Conclusion: Authors showed satisfactory results in all cases of forearm segmental fracture. With accurate reduction and stable fixation, favorable result comparable to that of simple fracture can be achieved for complicated forearm segmental fractures.
Keywords: Radius, Ulna, Forearm, Segmental fracture, Open reduction, Plate fixation


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