Management of both forearm bone diaphyseal fractures - ORIF v/s CRIF v/s hybrid fixation: An operative dilemma

Introduction: Long bone fracture of forearm is common skeletal injury. The most common causes of such injuries include road traffic accident, fall or direct trauma, amongst the various types of forearm fractures, both-bone diaphyseal forearm fractures in adults are frequently met by the orthopaedic doctors. There are various methods available for fixation of both bone diaphysial fractures like both bone plate fixation, both bone intramedullary nailing and hybrid method with nailing in one of the bones and plating in other. Our aim of the study is which method of fixation is most clinically justifiable in both bone diaphysial fractures amongst all the available choices. Materials and Methods: This is a retrospective study of 200 cases of diaphyseal fractures of radius ulna selected randomly over a period two year from March 2016 to March 2018 conducted at civil hospital Ahmedabad. All patients were followed up for a period 6 months post operatively. Result and Conclusion: After studying result of all four method of fixation hybrid fixation showed good union rate, less chance of infection, less chance of malunion and non union,relatively good stability, less incidence of swelling and better recovery with a less chance of implant removal incidence and failure.