Ulnar bone fracture natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2] ;
Overview
The prognosis ulnar fracture depends on many factors. However, the factors under the orthopedics surgeons control are: treatment method, timing of internal fixation in open fractures, soft-tissue handling, and restoration of osseous anatomy.
Complication
The type and frequency of complications of the ulnar fracture varies. Its been reported that the ulnar fracture related complication and post-traumatic arthritis rates are 6% - 80% and 7% -65%, respectively. Malunion with an intra-articular or extra-articular deformity non-union, tendon attrition/rupture complications and neurological injuries are the most frequent complication in this regard.
In general the following are the most common complications of ulnar bone fracture:
- Decreased Motion
- Non-Healing Fracture
- Infection
- Painful movement
Prognosis
The prognosis of ulnar fracture is more guarded for open fractures of the shaft of the ulna with major skin and soft-tissue loss. In these patients, several operative procedures may be necessary, including initial debridement and stabilization, skin grafting, pedicle or free-flap applications, late reconstruction of the bones, and, frequently, tendon transfers[1].
References
- ↑ Meena S, Sharma P, Sambharia AK, Dawar A (2014). "Fractures of distal radius: an overview". J Family Med Prim Care. 3 (4): 325–32. doi:10.4103/2249-4863.148101. PMC 4311337. PMID 25657938.