Treatment Outcomes of Adolescent AO 22A Diaphyseal Radius and Ulna Fractures Treated with Dynamic Compression Plate and Intramedullary Elastic Nail

Background & Objective: Diaphyseal fractures of the forearm are a prevalent orthopedic injury that necessitatesurgical intervention to reestablish functional range of motion, alignment, and stability. Complications, includingmalunion, nonunion, and long-term functional impairment, may result from these fractures if not properly managed.Main Objective was to compare treatment outcome of Adolescent AO 22ADiaphyseal Radius and Ulna Fractures Treatedwith Dynamic Compression Plate and Intramedullary Elastic Nail.Methodology: It was a prospective comparative study that included 70 patients, all of whom had diaphyseal fracturesof the radius and/or ulna that necessitated surgical treatment. The patients were aged between 12 and 18 years.Group A consisted of 35 patients who were treated with DCP fixation, while Group B consisted of 35 patients who weretreated with IMEN fixation. The patients were randomly assigned to these two categories. Clinical evaluations wereconducted at 2 weeks, 6 weeks, and 12 to 16 weeks following surgery to evaluate pain levels, functional improvement,range of motion, and any complications.Results: At 6 weeks, Group B (IMEN) showed better outcomes with lower Quick DASH (15.49 ± 2.94 vs. 20.45 ± 2.99) andhigher MEPS (81.6 ± 4.8 vs. 75.3 ± 5.2), with faster union (10.8 ± 1.9 vs. 12.5 ± 2.3 weeks, p