Fracturas diafisarias de antebrazoestudio clínico

Resumo

The results obtained in 268 cases presenting with diafisar}· fracture of the forearm, double or isolated in radius or ulna, at the same or different leve!, including fractures of Monteggia and Galeazzi, are here presented. In this series 169 out of the 268 cases wcrc children 89%. of them treated orthopedically and 11 % quirurgically, 7'Yo with intramedullary nailing, 0'8% with screwd plates and 3'2% using thc both latter techniques. In thc 99 adults presenting these fractures, orthopedical treatment was only adopted in 33'3% of the cases and 66'7% were treated quirurgically, using screwed plates in 53, intramedullary nailing in 7 and combined techniques in 9. Global results in children were excellent, presented light late complications only in 5'3% of the cases, consisting mainly in secondary displacements and delayed union. Though the adult group offered also very satisfactory functional results the number of complications were significantly higher, with special reference to pseudoarthrosis present in 7% of cases and with lower incidence when screwed plates were use.