الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Obtain & Maintain anatomic reduction with Restoration of the Normal relationships between the Radius & Ulna and maintains of radial bow is essential for afunctional forearm. Plates are load bearing and affects periosteal circulation and can maintain Direct anatomical reduction but it Destroy soft tissue, however nails are load bearing and affects endosteal circulation and maintain relative fixation& Indirect reduction& Preserves soft tissue. Open reduction and internal fixation of forearm using plate &screws is indicated in fracture both bones of forearm with angular deformity&Isolated displaced ulnar fracture& isolated radial fracture&open fracture grade I,II,IIIa&in cases with nonunion&incaseswith fracture dislocation as montaggia fracture.
Plates &screws are considered the best method of fixation of fracture both bone forearm in adults as it restore anatomic reduction,maintain Ulna & Radial length, Restore Rotational alignment,Restore radial bow essential for rotational function of forearm. Fixation with a standard length compression plate and four cortices on either side of the fracture seems to be stable construct for diaphyseal fracture for forearm in adults. Intramedullary fixation is indicated in segmental and compound injuries, fractures with poor skin condition (burns) and osteopenic bones Intramedullary nails are not as strong and do not maintain forearm as well as plate osteosynthesis.More over the use of intramedullary nails is limited by the configuration of the fracture and the presence and severity of associated injuries. selection of correct length and diameter of the nail with reference to the configuration of the fracture is critical. The anatomic reduction cannot be as accurate as achieved with plating.
Complications of forearm nailing include nail incarceration, iatrogenic comminution of the fracture, fracture distraction, nonunion, and cortical perforation during reaming of nail insertion.