EFFECTS OF RETAINED DIAPHYSEAL PLATES ON FOREARM BONE-DENSITY AND GRIP STRENGTH

Numerous complications have been attributed to elective plate removal following successful treatment of both bane diaphyseal forearm fractur es, yet the effects of retained implants are not known. Fourteen patie nts were reviewed for residual forearm grip strength (FGS) and bane mi neral density (BMD) following uneventful union. Patients were analyzed in two groups based upon time from fixation: group I, >2 years but le ss than or equal to 5 years, and group II, >5 years. In group I, mean 2.6 years follow-up (n = 6), mean FGS ratios (patient values/age match ed general population means) were 0.65 and 0.77, respectively, for pla ted and normal limbs (p = 0.08). The mean BMD ratios of plated/normal sides adjacent to the plate were 0.99 (ulna) and 1.02 (radius); these values were not significantly different from more proximal forearm BMD ratios (p = 0.92 ulna; p = 0.44, radius). In group II, mean 8.4 years (n = 8), mean FGS ratios were 0.97 and 1.09, respectively, for plated and normal limbs (p > 0.05). The BMD ratio was 1.04 adjacent to the p late; this was not significantly different from the ratios measured aw ay from the plate (p > 0.4). We conclude that retained forearm plates can be well tolerated and that their routine removal is not indicated based on FGS or BMD.