الفهرس | Only 14 pages are availabe for public view |
Abstract The forearm fractures particularly the radial shaft are of high medical importance. This could be explained that any degree of failure to regain the normal anatomy could lead to horrible restriction in forearm movement and hand functions. from the biomechanical point of view, the radial bow is the most challenging point in this matter and the golden key for forearm movement particularly forearm rotation. Too many methods of fixation had been described in the literature. ORIF had been known to be the most accurate and safe method. Two approaches had been described to the radial shaft; the volar Henry approach and the dorsal Thompson approach. The aim of the study was to compare between both approaches regarding outcomes and complications. Thirty patients with isolated radial shaft fractures had been divided into two groups; the first one was treated via Thompson and the second was treated via Henry. Both bones forearm fractures had been excluded from the study to avoid affection of the outcomes by other ulnar fractures. The patients had been closely followed for at least six months period or till complete improvement. Clinical and radiological findings had been documented and complications had been noticed. The DASH score was used to assess the results and compare between the 2 approaches. The degree of satisfaction was noticed according to Anderson’s criteria and was compared with other studies. The mean time of union in the Thompson group was 10.93 ± 3.73 weeks, while in the Henry group it was 12.5 ± 6.91 weeks with no significant difference. |