{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:24:00Z","timestamp":1787775840445,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Background:<\/jats:title>\n Both-bone forearm fractures are common orthopedic injuries requiring surgical intervention to restore function and stability. Intramedullary nailing (IMN) and plate fixation (PF) are two widely used techniques for managing these fractures.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n A total of 100 patients aged 18\u201350 years with diaphyseal fractures of the radius and ulna were included in this prospective study. Patients were randomly assigned to two groups: Group A (IMN,\n n<\/jats:italic>\n = 50) and Group B (PF,\n n<\/jats:italic>\n = 50). Surgical procedures were performed following standard protocols. Postoperative evaluations included functional assessment using the Grace and Eversmann criteria, time to union, complication rates, and range of motion (ROM) measurements at 3, 6, and 12 months. Statistical analysis was conducted using the chi-square test and Student\u2019s\n t<\/jats:italic>\n -test, with a significance level set at\n P<\/jats:italic>\n < 0.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean union time was significantly shorter in the IMN group (10.2 \u00b1 2.1 weeks) compared to the PF group (12.8 \u00b1 3.4 weeks,\n P<\/jats:italic>\n = 0.03). Functional outcomes were excellent or good in 88% of IMN patients and 84% of PF patients at the 12-month follow-up. Complication rates were slightly higher in the IMN group (14%) than in the PF group (10%), with infection and implant irritation being the most common issues. ROM was comparable between the groups, with no significant differences in supination and pronation.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Both IMN and PF provide reliable fixation for both-bone forearm fractures, with favorable functional and radiological outcomes. IMN demonstrated a shorter union time, while PF showed a marginally lower complication rate.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_463_25","type":"journal-article","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T04:01:33Z","timestamp":1746849693000},"page":"S275-S277","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Outcomes of Intramedullary Nailing Versus Plate Fixation in the Management of Both-Bone Forearm Fractures"],"prefix":"10.4103","volume":"17","author":[{"given":"Ashish","family":"Sharma","sequence":"first","affiliation":[{"name":"Government Medical College, Satna, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanchhit","family":"Singh","sequence":"additional","affiliation":[{"name":"Government Medical College, Satna, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulayam Singh","family":"Yadav","sequence":"additional","affiliation":[{"name":"Government Medical College, Satna, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Gidwani","sequence":"additional","affiliation":[{"name":"Intern, Government Medical College, Gondia, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"R1-20250513","doi-asserted-by":"crossref","first-page":"282","DOI":"10.4055\/cios.2015.7.3.282","article-title":"Shaft Fractures of Both Forearm Bones: The Outcomes of Surgical Treatment with Plating Only and Combined Plating and Intramedullary Nailing","volume":"7","author":"Kim","year":"2015","journal-title":"Clin Orthop Surg"},{"key":"R2-20250513","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.hcl.2010.04.002","article-title":"Intramedullary fixation of forearm fractures","volume":"26","author":"Rehman","year":"2010","journal-title":"Hand Clin"},{"key":"R3-20250513","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2106\/00004623-198971020-00001","article-title":"Compression-plate fixation of acute fractures of the diaphyses of the radius and ulna","volume":"71","author":"Chapman","year":"1989","journal-title":"J Bone Joint Surg Am"},{"key":"R4-20250513","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00005131-199502000-00002","article-title":"A comparison of malreduction after plate fixation and intramedullary nail fixation of forearm fractures","volume":"9","author":"Schemitsch","year":"1995","journal-title":"J Orthop Trauma"},{"key":"R5-20250513","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.2106\/00004623-198668070-00007","article-title":"Immediate internal fixation of open fractures of the diaphysis of the forearm","volume":"68","author":"Moed","year":"1986","journal-title":"J Bone Joint Surg Am"},{"key":"R6-20250513","first-page":"RC12","article-title":"Evaluation of Clinical Outcomes of Management of Paediatric Bone Forearm Fractures using Titanium Elastic Nailing System: A Prospective Study of 50 Cases","volume":"10","author":"Kapila","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"R7-20250513","first-page":"e37277","article-title":"A Comparative Study Between Plate Osteosynthesis and Intramedullary Nailing for Diaphyseal Fracture of Radius and Ulna in Adults","volume":"15","author":"Saini","year":"2023","journal-title":"Cureus"},{"key":"R8-20250513","first-page":"395","article-title":"Comparison of open reduction internal fixation and intramedullary fixation in the treatment of adult forearm fractures","volume":"51","author":"Zehir","year":"2017","journal-title":"Acta Orthop Traumatol Turc"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_463_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:43:41Z","timestamp":1787773421000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_463_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":8,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_463_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,29]]},"assertion":[{"value":"2025-02-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}