A Comparative Study of Three Different Surgical Methods

The purpose of this study was to evaluate and compare the results of plate osteosynthesis, intramedullary nailing (IMN), and hybrid fixation (plate osteosynthesis for the radius and intramedullary nail for the ulna) for the treatment of both-forearm-bone shaft fractures in adults. One-hundred-one cases of both-forearm-bone shaft fractures were retrospectively reviewed. In the ORIF, IMN, and HYBRID groups, the average union time was 10.8, 14.9, and 11.5 weeks, respectively. The ORIF and HYBRID groups had a significantly better radial bow ratio on the contralateral side compared to the IMN group. Pronation and supination of the forearm showed significant differences in the ORIF group (161°), IMN group (156°), and HYBRID group (160°). The IMN and hybrid fixation show radiologic and clinical outcomes similar to plate osteosynthesis. Thus, if the indication is properly selected, our results suggest that IMN and hybrid fixation would be acceptable treatment options for both-forearm-bone fractures in adults