Surgical Management of Galeazzi Fractures - A Clinical Study of 42 Patients
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Introduction: Fracture of the lower end of radius and Galeazzi fractures are common in orthopedic practice all over the world. The distal radioulnar joint disruption usually is simple in nature, which gets reduced spontaneously after radius fixation. Sometimes, this can be complex which can be irreducible because of the entrapped bone or tendon - most often extensor carpi ulnaris tendon. There are different methods of approaches and modes of internal fixation described in the literature. The present study is to analyze the results post-operatively following internal fixation with plate and screws. Materials and Methods: A total of 42 patients with distal radial fracture and Galeazzi fractures were randomly selected and subjected to internal fixation with dynamic plate and screws. Post-operatively, the results were analyzed using Mayo wrist score and piano tests. Results: There were 28 (64.28%) male patients and 15 (35.71%) female patients. Age of the patients ranged between 22 years and 60 years with a mean age of 43.7 years. Grip strength was excellent in the majority of the patients with stable distal radioulnar joint. Statistical analysis shows a significant correlation between grip strength and distal radioulnar joint stability (P < 0.05). There was a significant correlation between deficits in the range of pronation/supination with age groups in the present study. Four patients in the age group of above 50 years had pronation supination difference of 30-50. Conclusion: The treatment of the Galeazzi fractures is anatomic restoration of length of the radius with application of rigid internal fixation to maintain the reduction.
Authors and Affiliations
K P Riju
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