Results of AO plate fixation of forearm shaft fractures in adults.

A series of 111 forearm fractures in 108 individuals involving 177 individual bones, and treated by AO plating is reported. There were 18 different surgeons. Open fractures occurred in 24 per cent of limbs. Reviews at a mean of 3 years after the accident showed 97 per cent of bones to be solidly united, and satisfactory function to be achieved in 80 per cent of limbs. Deep infection occurred 6 times, and non-union in 7 bones. Cross-union developed in 6 patients, all of whom had sustained head injuries. Seven patients sustained operative nerve injuries. It is felt that the implant of choice at the moment is the small fragment Dynamic Compression Plate (DCP).