Ahmad Tashfeen, Muhammad Zehra Abdul, Hashmi Pervaiz
Departments of Surgery and Biological & Biomedical Sciences, Aga Khan University, Karachi, Pakistan.
Department of Surgery, Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S24-S26.
To compare functional and clinical outcomes of open versus closed radius ulna shaft fractures in adults treated by internal fixation.
A prospective cohort study was conducted on patients presenting with traumatic radius and ulna shaft fractures to Aga Khan University and undergoing internal fixation between July 2015 to June 2019. Data was extracted from an ongoing orthopaedic trauma registry. Functional and clinical outcomes were assessed by Price et al. criteria at 6 weeks, 3, 6 and 12 months follow-up. Outcome scores of open versus closed fractures were compared.
Twenty-nine adult patients with isolated radius and ulna shaft fracture were identified. Cause of injury was road traffic accident in 18 (62%) and fall in 11 (38%) patients. Seventeen (59%) were closed and 12 (41%) were open fractures. At 6week follow-up, better outcomes were observed in closed fracture group (p=0.01) with near-full range of motion and activity in 10(83%) patients as compared to 3(27%) in the open fracture group. No significant difference in outcomes was observed at 3 months and thereafter.
Earlier recovery of function at 6 weeks was observed in majority of patients in the closed fracture group. Our data shows that good-excellent functional and clinical results are achievable by internal fixation in both open as well as closed fractures of the shaft of radius and ulna in adults.
比较成人开放性与闭合性尺桡骨干骨折内固定治疗后的功能和临床结果。
对2015年7月至2019年6月在阿迦汗大学就诊并接受内固定治疗的创伤性尺桡骨干骨折患者进行前瞻性队列研究。数据从一个正在进行的骨科创伤登记处提取。在6周、3个月、6个月和12个月的随访中，根据普赖斯等人的标准评估功能和临床结果。比较开放性骨折与闭合性骨折的结果评分。
确定了29例成人单纯尺桡骨干骨折患者。受伤原因是道路交通事故18例（62%），跌倒11例（38%）。17例（59%）为闭合性骨折，12例（41%）为开放性骨折。在6周的随访中，闭合性骨折组的结果更好（p=0.01），10例（83%）患者的活动范围和活动接近完全恢复，而开放性骨折组为3例（27%）。在3个月及之后的随访中，结果无显著差异。
闭合性骨折组的大多数患者在6周时功能恢复较早。我们的数据表明，成人尺桡骨干开放性和闭合性骨折通过内固定均可获得良好至优秀的功能和临床结果。
