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

2017 ◽  
Vol 3 (4) ◽  
pp. 809 ◽  
Author(s):  
Rohit Varma ◽  
S. S. Wani ◽  
S. K. Rai
Keyword(s):  
Functional Outcome ◽  
Plate Fixation ◽  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Radius Fracture ◽  
Unstable Fracture ◽  
Kirschner Wires ◽  
Radioulnar Joint ◽  
Galeazzi Fracture

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong>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.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong>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<span lang="EN-US">.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong>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.</p><p class="abstract"><strong><span lang="EN-US">Conclusions:</span></strong>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.</p>

scholarly journals Functional Outcome of Galezzi Fracture Dislocation in Adults Treated With Dynamic Compression Plate and Kirschner Wire

2020 ◽  
Vol 18 (1) ◽  
pp. 56-59
Author(s):  
Dipendra KC ◽  
Dinesh Kumar Shrestha ◽  
Prateek Karki ◽  
Sabin Shrestha ◽  
Sushil Yogi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Dynamic Compression ◽  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Dynamic Compression Plate ◽  
Radioulnar Joint ◽  
Compression Plate

Introduction: Galeazzi fracture-dislocation is a complex traumatic disruption of the distal radioulnar joint (DRUJ) that is associated with lower shaft radius fracture. Galeazzi fractures are extremely unstable, and the results of nonsurgical treatment are uniformly unsatisfactory. Galeazzi fractures managed with closed modalities have unsatisfactory clinical results in most of the patients in published literature so open reduction and internal fixation with plating is the standard treatment for this fracture. Aims: The aim of this study was to evaluate the functional outcome of Galeazzi fracture dislocation. Methods: This prospective study was conducted in the Department of Orthopedics at Nepalgunj Medical College Teaching Hospital Kohalpur, from April 2016 to March 2019.  It included 35 patients of age group 19 to 49. All of the fractures in this study were treated by open reduction and internal fixation (ORIF) with 3.5 mm narrow dynamic compression plate (DCP) and cortical screws via Henrys anterior approach and distal radioulnar joint (DRUJ) stabilization was done with 1 Kirschner wire (K-wire) inserted parallel to the wrist joint. Patients were observed at 6, 10, 16 and 24 weeks and 52 weeks both radiographically and clinically. Results: In this study of 35 patients, 24 (68.57%) were males and 11 (31.43%) were females with the age range of 19 to 49 years and mean age of 35 and standard deviation (SD) of ±1.5 years. Majority of fractures were observed between 31 to 40 years of age. Most of the injuries were due to fall injury 51.42%. The average duration from time of injury to surgery was 5 days and bone grafting was not needed in any cases. The average time period for union was about 16 weeks. The most common complication seen in this study was stiffness of wrist (11.42%). Twenty four patients (68.57%) had good result, 10 patients (28.57%) had fair result and one patient (2.86%) had poor result in DASH score at final follow-up. Conclusion: Open reduction and internal fixation with plating and stabilization of distal radioulnar joint with K wire yields good to fair outcome on Disabilities of Arm, Shoulder and Hand Score.

scholarly journals Isolated Distal Ulna Fracture With Distal Radioulnar Joint Dislocation: A Novel Fracture Pattern

Hand ◽  
2019 ◽  
Vol 15 (4) ◽  
pp. NP57-NP62
Author(s):  
Matthew Ciminero ◽  
Nick Yohe ◽  
Garret Garofolo-Gonzalez ◽  
Jack Choueka
Keyword(s):  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Fracture Pattern ◽  
Radius Fracture ◽  
Distal Ulna ◽  
Radioulnar Joint ◽  
Ulna Fracture ◽  
Kirschner Wire Fixation ◽  
Treatment Plans ◽  
Equivalent Strength

Background: Galeazzi fractures composed of a middle to distal third radius fracture with dislocation and/or instability at the distal radioulnar joint (DRUJ) have been well described for decades. However, the inverse scenario has seldom if ever been described in the literature. Methods: We explore the case of a 25-year-old active patient who experienced a traumatic distal ulna fracture with dislocation of the DRUJ without a distal radius fracture. Results: It was successfully treated with open reduction and Kirschner wire fixation. The patient regained equivalent strength and range of motion compared with the contralateral uninjured extremity. Conclusion: We feel this patient’s successful postoperative course can guide future treatment plans for orthopedic surgeons who encounter similar fractures.

Irreducible Galeazzi Fracture-Dislocation Due to an Avulsion Fracture of the Fovea of the Ulna

1999 ◽  
Vol 24 (3) ◽  
pp. 379-381 ◽  
Author(s):  
Y. KIKUCHI ◽  
T. NAKAMURA
Keyword(s):  
Open Reduction ◽  
Rare Case ◽  
Avulsion Fracture ◽  
Styloid Process ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Ulnar Styloid ◽  
Radioulnar Joint ◽  
Galeazzi Fracture ◽  
Ulnar Styloid Process

We report a rare case of Galeazzi fracture-dislocation with an irreducible distal radioulnar joint. The cause of the irreducibility was entrapment of a fragment avulsed from the fovea of the ulna. The patient was successfully treated with open reduction and internal fixation of the radius, ulnar styloid process and avulsed fracture at the fovea of the ulna.

scholarly journals Functional outcome of galeazzi fracture dislocation treated by open reduction and internal fixation with dynamic compression plate

2021 ◽  
Vol 9 (5) ◽  
pp. 1352
Author(s):  
Manoj Kumar ◽  
Amit Kumar ◽  
Sanjeev Gupta ◽  
Neeraj Mahajan ◽  
Zubair A. Lone ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Dynamic Compression ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Rigid Internal Fixation ◽  
Galeazzi Fracture ◽  
Anatomic Reduction ◽  
Fracture Dislocations

Background: Galeazzi fracture involves fracture of the distal 1/3rd of   radius shaft associated with dislocation of distal radioulnar joint. Open reduction and rigid internal fixation of radius is goal standard treatment. The aim of this study was done to evaluate the functional outcome of Galeazzi fracture dislocation managed by open reduction and internal fixation of radius.Methods: The study was conducted in department of orthopaedics Government Medical college Jammu from December 2018 to February 2021. 30 patients of Galeazzi fracture dislocation were managed with Open reduction and internal fixation of Radius with plating and were followed up to evaluate the results.Results: Age of the patients ranged between 23 years to 60 years with a mean range of 42 years. 22 cases were male (73.3%), 8 cases were females (26.6%). In 19 cases injury was in right side and in 11 cases injury was in left side. In most of the cases injury was due to due to RTA (80%) and in rest of cases injury was due to fall from height (20%).Conclusions: Anatomic restoration of length of the radius with rigid internal fixation is key to satisfactory results in Galeazzi fracture dislocations and K-wire fixation of distal radio ulnar joint is 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. 

Preliminary Report of Arthroscopically Assisted Sauvé–Kapandji Procedure for Distal Radioulnar Joint Arthritis

2021 ◽  
Author(s):  
Yukio Abe ◽  
Youhei Takahashi ◽  
Kenzo Fujii
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Contralateral Side ◽  
Level Of Evidence ◽  
Radioulnar Joint ◽  
Advantages And Disadvantages ◽  
Arthroscopically Assisted ◽  
Therapeutic Study

Abstract Background The arthroscopically assisted Sauvé–Kapandji (S-K) procedure has been described as a safe and promising technique for distal radioulnar joint (DRUJ) arthrodesis. Our purpose was to investigate the advantages and disadvantages of the arthroscopically assisted S-K procedure. Methods Eight patients underwent an arthroscopically assisted S-K procedure. All patients were diagnosed as DRUJ osteoarthritis (OA), including six primary DRUJ OA, one OA following a distal radius fracture, and one rheumatoid arthritis (RA). Arthroscopy was performed in neutral forearm rotation with vertical traction. The surface of the DRUJ was debrided through arthroscopy to expose the subchondral surface, and the DRUJ was fixed with a cannulated screw and Kirschner wire (K-wire) with zero or minus ulnar variance in the same posture. Bone graft was not performed. Results Bone union was achieved at 2 to 3.5 months postoperatively. At an average of 17-month follow-up, the pain intensity on 10-point numerical rating scale (NRS) decreased from 10 preoperatively to 0.4 postoperatively, average range of pronation significantly improved from 77 degrees to 89 degrees, and average grip strength as a percentage of contralateral side improved from 76 to 104%. Conclusion Satisfactory outcomes were achieved with the arthroscopically assisted S-K procedure. Advantages of this procedure included the ability to achieve union without bone grafting, preservation of the extensor mechanism integrity, and easy reduction of the ulnar head due to its wrist positioning. No major complications were encountered. Disadvantages included its required use of arthroscopic technique and potential contraindication for cases with severe deformity at the sigmoid notch. Level of Evidence This is a Level IV, therapeutic study.

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