Management and functional outcome of Galeazzi fracture dislocation: a single centre retrospective study

Authors

  • Rohit Varma Department of Orthopaedics & Trauma, Indian Navy Hospital Ship (INHS) Asvini, Mumbai, Maharashtra
  • S. S. Wani Department of Orthopaedics & Trauma, Indian Navy Hospital Ship (INHS) Asvini, Mumbai, Maharashtra
  • S. K. Rai Department of Orthopaedics & Trauma, Indian Navy Hospital Ship (INHS) Asvini, Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20172878

Keywords:

Galeazzi fracture, Distal radioulnar joint, Dislocation, Arthrosis, Triangular fibrocartilage

Abstract

Background:Galeazzi fracture dislocation is an unstable fracture dislocation of forearm that includes fracture of distal third or fourth shaft of radius with dislocation of distal radioulnar joint. The aim of the study was to analyse the management and functional outcome of Galeazzi fracture dislocation managed with fixation of radius fracture and distal radioulnar joint stabilisation with two Kirschner wires.

Methods:Thirty one patients with Galeazzi fracture dislocation were managed with plate fixation for radius fracture and distal radioulnar joint stabilisation with 2 Kirschner wires. They were clinically and radiographically assessed for functional outcome as well as union, distal radioulnar joint stability and any arthrosis of the wrist joint.

Results:Functional outcome was assessed based on disability of shoulder, arm, and hand index. 94% of the patients in our series had good to fair outcome with 6% having poor outcome.

Conclusions:All Galeazzi fracture dislocation should be managed with plate fixation for radius fracture and Kirschner wire stabilisation of distal radioulnar joint followed by splinting for 6 weeks for best functional outcome.

Author Biography

Rohit Varma, Department of Orthopaedics & Trauma, Indian Navy Hospital Ship (INHS) Asvini, Mumbai, Maharashtra

Surgeon Commander Rohit Varma

Asst Prof. Graded Specialist (Orthopaedics)

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Published

2017-06-23

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Original Research Articles