Early Outcome of Mid-Shaft Radius & Ulna Fracture Osteosynthesis through Single Posterior Incision Approach

Objective: To determine the early outcome of mid-shaft radius and ulna fracture osteosynthesis through single posterior incision approach.

Study Design and Setting: This is a retrospective study carried out at Orthopaedic Surgery department, Liaquat University of Medical and Health Sciences Jamshoro, from September 2019 to December 2020.

Material and Methods: In total 14 patients were operated out of which 9(64.29%) were male and 5 were females through posterior single incision approach (Thompson approach). Demographic data regarding the pattern of fracture and the complications after the surgery at 2,6 and 12 weeks was collected respectively.

Results: The total number of cases operated from September 2019 to December 2020 were 14, out of 14 patients 9(64.29%) were males and 5(35.71%) were females. The average age of patients was 26.5 years ranging from 16-40 years .The average time of surgery was 61 minutes ranging from 50-70 minutes. The patients were discharged on 3rd post-operative perficial wound infection which was treated with antibiotics after culture and sensitivity There was no neurovascular deficit in all patients. All the fractures were united within 3 months time, and there was no radio ulnar synostosis observed within mean time.

Conclusion: To conclude we can say that the single posterior incision approach for treatment of mid-shaft radius ulna fractures osteyosynthisis is effective and safe provided the surgical expertise and good anatomical knowledge for identification of the vital structures are there.