Question

Radial bow- its importance in return of rotation after fixation of fracture both bones forearm in adult"

Answer 1

Rotations of the forearm are very  essential for activities of  daily living. Diaphyseal fractures  of Both Bones of the Forearm often lead to loss of rotations of the forearm. So an essential aspect of management of such fractures is achieving  near normal rotations  of the forearm  as this affects patient’s perception of their functional outcome. Plate fixation is the treatment of choice  of fracture Both Bones Forearm in adults as it restores length, apposition, axial and rotational alignment and gives good functional outcome. Previous studies have shown the importance of restoration of Radial bow in achieving maximal rotational movement of forearm. But some of the recent studies have been unable to find a significant association between restoration of Radial bow and the return of rotations of the forearm. So this study was done to determine the relation between the Radial bow and rotations of forearm after plate fixation of fracture Both Bones of ForearmRadius is a bone with complex angle and  curve. The lateral  curve is also called  the Radial bow. It is the most important curve. The Radial bow plays an important role in supination and pronation [5] of the forearm where the Radius rotates around the fixed Ulna. Previous studies have  shown  the  importance of  restoration  of Radial  bow  in achieving  maximal rotational movement of forearm after plate fixation of fractures Both Bones Forearm. But some of the studies have been unable of find a significant association between restoration of Radial bow and the return of rotation. The unique surgical anatomy of forearm creates problems in the treatment of fractures of the forearm. These difficult problems are obtaining primary osseous union and restoring normal function. Restoring the Radial  curvature after surgical fixation of fractures of Both Bones Forearm in adults and its impact on the rotational movement is studied in Indian setup. The  purpose  of  this  study  was  to  correlate  clinically  the  rotations  of  forearm  with  the radiological restoration of radial bow after surgical fixation of both bones forearm fracture in adults. Specific Objectives was to study relation between the range of supination & pronation after surgery with Amount of Radial Bow and Location of the Radial bow.