Surgical management of galeazzi fracture dislocation
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 11, Issue 2
Abstract
: By definition, Galeazzi fracture involves fracture of the shaft of radius anywhere between radial tuberosity and a point 2-4 cms proximal to the wrist, associated with sub luxation or dislocation of lower end of ulna. Objectives: Preoperative assessment evaluating the type of fracture mechanism of injury To study the results of surgery and post-operative complications To analyze the efficacy of surgical techniques in achieving reduction and restoring the congruency of joint and stability of distal radio-ulnar joint. To study the duration of immobilization required and initiation of early mobilization To assess the functional outcome of distal radioulnar joint in Galeazzi fracture treated by surgical method. Methodology: All cases of Galeazzi fracture dislocation fulfilling the inclusion criteria were managed by various surgical techniques and followed up to evaluate the results. All the required data were obtained from the patients during their stay in the hospital or during follow up and from hospital records and records in the proforma. Results: Age of the patients ranged between 22 years to 60 years with a mean range of 43.7 years. 16 cases were male (80%), 4 cases were females (20%). In 13 cases injury was in right side and in 7 cases injury was in left side. Most of the cases injury was due to self fall on outstretched hand (70%). Four cases were due to RTA (20%) and 2 cases due to direct hit (10%). Discussion: In the present study, in majority of cases volar plating by anterior Henrys approach was used in 17 cases (85%). Dorsal plating by thompson approach used only in 3 cases because of superficial abrasion and pinpoint wound over volar side. Conclusion: The key to the satisfactory results in the treatment of the Galeazzi lesion is anatomic restoration of length of the radius with application of rigid internal fixation to maintain the reduction. Open revision and K-wire fixation of distal radio ulnar joint are not necessary if anatomic reduction of the joint is obtained by indirect means such as open reduction and internal fixation of the radius and immobilization
Authors and Affiliations
Abdul Ravoof , Aakhil Ravoof , C. D. Deepak
Keywords
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