Abstract
RANDOMIZED CONTROLLED TRIAL COMPARING OUTCOME OF LIMITED CONTACT LOCKING COMPRESSION PLATE WITH LIMITED CONTACT DYNAMIC COMPRESSION PLATE FOR BOTH BONE FOREARM FRACTURES IN ADULTS

Shah S. K.*, Chaudhary P., Khanal G. P. and Rijal R.

ABSTRACT

Objectives: Forearm shaft fractures are often referred to as being frequent fractures. It comprises of 0.8% of all fractures. The chances for the occurrence of malunion and non-union are greater. Cortical porosis and refractures were considered secondary to excessive plate-bone contact in DCPs that interfered with cortical perfusion has not been completely resolved by LC-DCP. This study compares the outcomes of limited contact locking compression plate (LC-LCP) with limited contact dynamic compression plate (LC-DCP) for the treatment of adult diaphyseal both bone forearm fractures. Methods: The study was conducted in the Department of Orthopedics, B.P. Koirala Institute of Health Sciences, a tertiary care hospital in Eastern Nepal, over a period of fifteen months from June 2015 to August 2016. Ethical clearance was taken from the Institutional Review committee (IRC). Study design was randomized controlled. Patients in group A treated with ORIF with LC-LCP and in group B treated with ORIF with LC-DCP. Results: Mean union time did not differ significantly in the LC-LCP and LC-DCP group (8.40 and 10.00 days respectively, p-value 0.292). There was no difference in functional outcome as per Anderson criteria between two groups. Patient rated outcome as per DASH score did not differ significantly between both the groups (p-value 0.69). One patient in the LC-DCP group developed deep surgical site infection. Conclusion: our study showed that there was no significant difference between two groups in terms of reduction technique, mean operating time, union time and final functional outcomes.

Keywords: Diaphyseal, forearm, limited contact locking compression plate, limited contact dynamic compression plate.


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