A Case Series On Galeazzi-Variant Type Fracture-Dislocation In Adults
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background: Galeazzi variant type fracture dislocation i.e. Fracture of radius and ulna with dislocation at distal radioulnar joint (DRUJ) is uncommon injury and injury pattern is inherently unstable needs surgical management invariably. Here we are presenting a case series of such patients, their management, analysis of injury pattern and functional assessment. Methods: This study is a case series of 10 patients who presented with closed fracture of both bone forearms associated with dislocation of DRUJ without distal neurovascular deficit. Patients were managed operatively. The radial and ulnar fractures were treated with open reduction and internal fixation by means of a 3.5 mm small dynamic compression plate (DCP). Patients were given above elbow slab for 4 weeks, followed by physiotherapy and range of movement exercises. Radiographs were taken at 4 weeks, 8 weeks, 12 weeks, 6 months and 1 year. Pt was evaluated clinically and radiologically for fracture union and DRUJ stability. Results: All the patients were followed up for 1 year. The maximum Incidence of such injuries occurred in 4th decade of life (age between 31 to 40 years). Average time of fracture union in our study was 13 weeks. No restriction of Range of movement at wrist, elbow, Supination and pronation. DRUJ was stable in all the cases. Conclusion: Galeazzi variant type fracture dislocation in adults is not a very common injury in routine orthopaedic practice. Open reduction and internal fixation of both-bone forearm fractures is essential and reduction of DRUJ was spontaneous thus can be managed conservatively, in form 4 weeks of immobilization in a above elbow POP slab (healing of disrupted DRUJ), after that physiotherapy and range of movement exercises showed good results.
Authors and Affiliations
Mukesh Kumar Sharma, Amit Bansal
Keywords
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