الفهرس 
Review Of LiteratureOnly 14 pages are availabe for public view
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Abstract
The material of this study were ninety-seven patients who had recent fracture of the diaphysis of the radius or ulna, or both. They were treated by plate fixation at the Minoufiya university hospital, orthopedic department.In the 97 patients, at least one bone was plated, 15 cases were lost of follow up, and so the study was on 82 patients. Non Contact Adel Hussein Locked Screw Plate fixed 7 cases ,27 cases were fixed by SDCP, 25 cases by LC-DCP, 23 cases by reconstruction plate. There was no statistically significant difference between the three groups (SDCP, LC-DCP, Reconstruction groups) in age, sex, side of injury, fracture characteristics, level of the fracture, bone graft, and anesthesia. The average time to union was 12.40±3.14 in simple fractures and 14.71±2.94 weeks in comminuted fractures. All 65 fractures in which interfragmentary screws were used united. No acute postoperative infections developed. One deep infection developed late. No vascular injuries occurred secondary to the operation. Distal radial-nerve palsy was reported in three patients but resolved completely. Also one case of tourniquet paralysis occurred and resolved. No synostosis occurred in any patient. Eight patients had removal of the plates, after removal of the plate, no refractures occurred. No patient who did not have removal of the fixation device had a refracture.Healing time was more rapid in the LC-DCP groups. This is attributed to easier handling, better contouring, and more feasibility of inclination of the screWith reconstruction plate delayed union and nonunion occurred. Exaggeration of the radial curve occurred in some cases. Perfect early surgery produces good results versus delayed or less than perfect surgery.Immediate open reduction and internal fixation can be recommended in Grade I, II, and IIIA open forearm fractures. The Henry approach is a safe approach to the radius and has many advantages. The most important factor is the attention to details of the fixation and the reduction of the joints. The important feature was the rigidity of fixation.If plates and screws were used, they must be long and strong enough. The ideal plate length varies with the size of the bone, the amount of comminution, and the configuration of the fracture. Rigid fixation by SDCP, LCDCP or reconstruction plates, bone graft of highly comminuted fractures produces excellent results and high union rate.Comminuted fractures gained union rates comparable with that of simple fracture; bone graft accelerates the union to become nearer to that of simple type. The union is more rapid in the young aged compared with old aged patients. No statistically significant difference was noted between union time and the time of surgery.Five cases which have been fixed by non-contact Adel Hussein locked screw plate progressed to rapid union with profuse callus formation. 1 case showed signs of delayed union but functionally he was good. 1 case of comminuted fracture of the proximal; ulna was not reduced completely but the case progressed to union slowly. So the early results of this plate are promising. <Recommendations1. LC-DCP is a good implant for inernal fixation of the forearm. 2. Early results of Non Contact Locked Screw are promising.3. The attention should be given to details of the fixation and preservation of the radial curve and the reduction of the joints is essential.