~ 97 ~ International Journal of Orthopaedics Sciences 2017; 3(1): 97-108 ISSN: 2395-1958 IJOS 2017; 3(1): 97-108 © 2017 IJOS www.orthopaper.com Received: 18-11-2016 Accepted: 19-12-2016 Vishwanath C Senior Resident, Department of Orthopaedics, Adichunchangiri Institute of Medical Sciences, B G Nagar, Mandya, Karnataka, India Satheesh GS Assistant Professor, Department of Orthopaedics, Adichunchangiri Institute of Medical Sciences, B G Nagar, Mandya, Karnataka, India Saumitra Dwivedi Post Graduate, Department of Orthopaedics, Adichunchangiri Institute of Medical Sciences, B G Nagar, Mandya, Karnataka, India Manash Jyoti Baruah Post Graduate, Department of Orthopaedics, Adichunchangiri Institute of Medical Sciences, B G Nagar, Mandya, Karnataka, India Correspondence Vishwanath C Senior resident, Department of Orthopaedics, Adichunchangiri Institute of Medical Sciences, B G Nagar, Mandya, Karnataka, India Surgical management of fracture both bones forearm in adults using LC-DCP Vishwanath C, Satheesh GS, Saumitra Dwivedi and Manash Baruah DOI: http://dx.doi.org/10.22271/ortho.2017.v3.i1b.18 Abstract Background: Fractures of both bone of the forearm are relatively common injuries which can challenge the treating orthopaedican. Healing occurs reliably after closed treatment but malunion, with resultant decreased rotation of the forearm is common and has been associated with poor results [1] . Rotation of the forearm is a complex interaction between the radius and ulna and restoration of this movement depends on both on accurate reduction of fractures, this is achieved by ORIF using LC-DCP. [3] The “Limited Contact Dynamic Compression Plate”, was developed by Perren S. M. et to release the new concept of biological internal fixation. Grooves on the undersurface of the LC-DCP improved blood circulation. There is decreased damage to contact between plate and bone. It also allows for a small bone bridge beneath the plate at the most critical area, which is otherwise weak due to a stress concentration effect. In addition, there is more even distribution of the plate than in conventional plates. This study is undertaken to assess the results of diaphyseal fractures of BBFA using LCDCP to study the advantages and its complications. Materials and Methods: Patients who are admitted in Adichunchanagiri Institute of Medical Sciences are taken for study after obtaining their consent. This is prospective study from May 2013 to May 2016. Results: This study consists of 50 cases of fracture Both Bone Forearm Fractures. All cases were openly reduced and internally fixed with 3.5 mm LCDCP. Fracture was common in second and third decade with average age of 43 years (18-64 years). In our study, male preponderance was found with 74% males and 26% female patients. Side affected 32 (64%) Left side and 18 patients (36%) right side. Mode of injury in the present study, RTA (60%), fall (30%) and assault (10%). An average time for union was 17 weeks Results were evaluated by Andersons scoring system. In present study, we had 45 patients (90%) with excellent results, 4 case (8%) as satisfactory and 1 case (2%) as failure which required refixation. In the present study there was 3 case (6%) of superficial infection, 1 case (2%) of non-union of radius which required refixation with bone grafting. Conclusion: LC-DCP can be considered the best mode of treatment for closed diaphyseal fractures of both bones forearm. Keywords: Both bones forearm, diaphyseal fractures, limited contact dynamic compression plate, Andersons scoring system Introduction The forearm has a complex architecture consisting of two mobile relatively parallel bones that provide a stable link between the elbow and the wrist and serve as the origin of several muscles inserting on the hand. As a result, fracture of both bones forearm present unique problems not encountered with fractures of the shafts of other long bones. Restoration of forearm rotation, elbow and wrist motion and grip strength has been shown to be facilitated by anatomic reduction and internal fixation of these fractures [1] . The forearm rotation is the most important contribution to the rotational mobility of upper limb. The two-bone unit with its proximal and distal radio-ulnar joints, and its rotational axis connecting the centres of the two, have been viewed as a single bicondylar joint. When combined with rotational motion of the shoulder, forearm rotation permits the hand to be positioned through an entire 360o arc of motion. With the shoulder fully abducted, nearly all of the rotational motion of the upper limb occurs through the forearm. Activities such as, accepting objects in the palm of the hand require nearly full forearm supination while many other functional tasks require some degree of pronation [2] .