Percutaneous osteosynthesis of Galeazzi fracture-dislocation

Dr. Rahul Vanjari; Dr. Ashok Ghodke; Dr. Alfven Vieira; Dr Vicky Jain; Dr Parth Gupta

Volume : V, Issue : X, October - 2016

Percutaneous osteosynthesis of Galeazzi fracture-dislocation

Dr. Rahul Vanjari, Dr. Ashok Ghodke, Dr. Alfven Vieira, Dr Vicky Jain, Dr Parth Gupta

Abstract :

Background : A Galeazzi fracture is fracture of the radius associated with dislocation of the distal radio-ulnar joint (DRUJ) . The stacked nailing for the management of these injuries provides adequate stability , maintains the relationship of the DRUJ . The purpose of this study is to evaluate the results of simple , user-friendly , low cost elastic stacked nailing for the management of Galeazzi fracture dislocation . Materials and Methods : We treated 22 young adults with fresh Galeazzi fracture-dislocation of the forearm , from January 2014 to January 2016 , by percutaneous fixation of fracture by stacked elastic nailing at our institute . Medullary cavity was filled with two elastic titanium nails having unequal lengths and diameter . The results were evaluated using Mikic criteria based on union , alignment , relationship of the DRUJ , and movements at the inferior radio ulnar joint , elbow and wrist . Results : In six cases , following radiological union , nails in the radius were extracted between six to nine months after operation because of discomfort at site of insertion . After one year follow-up , 18 patients had excellent , four had fair results . Conclusion : Closed reduction and internal fixation of Galeazzi fracture by two elastic rods re-establishes the normal relationship of the fractured fragments and the DRUJ without repair of the ligaments . Elastic nailing can produce excellent clinical results for Galeazzi fracture-dislocation . It has the advantages of technical simplicity , minimal cost , user-friendly instrumentation , and a short learning curve .