Udayakumar Praveenkumar, Gopal Bhuvanesh, Dubey Dharmveer Kumar
Department of Orthopedic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Department of Orthopaedics, Indira Gandhi Government General Hospital and Post Graduate Institute, Puducherry, IND.
Cureus. 2025 Jul 7;17(7):e87451. doi: 10.7759/cureus.87451. eCollection 2025 Jul.
Aim To compare the functional outcomes of dynamic compression plating and intramedullary nailing in adolescents (12-19 years) with both-bone diaphyseal forearm fractures using the Grace and Eversmann scoring system. Materials and Methods Fifty-six adolescents (aged 12-19 years) with both-bone diaphyseal forearm fractures and meeting the inclusion criteria were enrolled in this study. Patients were assigned consecutive numbers; those with even numbers underwent intramedullary nailing, while those with odd numbers received dynamic compression plating. Functional outcomes were assessed at six months postoperatively using the Grace and Eversmann scoring system. Results Out of the 56 patients, the mean Grace and Eversmann score for the dynamic compression plating and intramedullary nailing groups was 9.79 and 9.75, respectively, at the final postoperative follow-up which was done after six months. An interpretation of the scores at the sixth month follow-up also revealed that in the dynamic compression plating group, 78.5% of patients achieved 'EXCELLENT' results and 21.5% achieved 'GOOD' results, whereas in the intramedullary nailing group, corresponding results were seen in 75% and 25% of the participants, respectively. Conclusion Both modalities were equally effective in the fixation of both-bone forearm fractures in adolescents aged 12-19 years, with no statistically significant difference in the functional outcome between the two groups.
目的 使用格雷斯和埃弗斯曼评分系统比较动力加压钢板内固定术与髓内钉固定术治疗青少年（12 - 19岁）双骨干前臂骨折的功能结局。材料与方法 本研究纳入了56例年龄在12 - 19岁之间、符合纳入标准的双骨干前臂骨折青少年患者。患者被连续编号；偶数编号的患者接受髓内钉固定，奇数编号的患者接受动力加压钢板内固定。术后6个月使用格雷斯和埃弗斯曼评分系统评估功能结局。结果 56例患者中，术后6个月最终随访时，动力加压钢板内固定组和髓内钉固定组的格雷斯和埃弗斯曼评分均值分别为9.79和9.75。6个月随访时对评分的解读还显示，动力加压钢板内固定组中，78.5%的患者获得“优秀”结果，21.5%的患者获得“良好”结果；而在髓内钉固定组中，相应结果分别见于75%和25%的参与者。结论 对于12 - 19岁青少年双骨干前臂骨折的固定，两种方式同样有效，两组之间的功能结局无统计学显著差异。
