![]() A thorough understanding of the anatomy, surgical approach, and postoperative treatment course is essential for a favorable patient outcome. Conclusion Galeazzi fractures are inherently unstable injuries that require surgical fixation for optimal results. Postoperatively, the patient demonstrated good motion and restoration of the forearm and wrist. Results Fracture fixation was achieved intraoperatively. A case of a 36-year-old woman with a Galeazzi fracture is presented, including the diagnosis, surgical technique, and postoperative plan for rehabilitation. We discuss surgical indications and considerations, including fracture sequelae and operative approach. Methods The anatomy of, mechanism of, diagnosis of, and treatment options for the Galeazzi fracture are reviewed. Purpose This video overview and case presentation demonstrates the diagnostic and surgical approach to the treatment of the Galeazzi fracture. Outcomes after surgical treatment have been demonstrated to be highly favorable, with the majority of patients experiencing positive return to function. Surgical repair of the Galeazzi fracture may also include fixation of the ulnar styloid, triangular fibrocartilage complex (TFCC) repair, and possible fixation of the ulnar to the radius. The fracture pattern is inherently unstable and most often requires surgical treatment to prevent loss of reduction. These injuries are relatively rare, constituting <3% of pediatric forearm fractures and <7% of adult forearm fractures. It does not store any personal data.Background Galeazzi fractures are fractures of the distal radial shaft with disruption of the distal radioulnar joint (DRUJ). The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. Infection – the rate of infection is very high following open fracture, due to direct contamination, reduced vascularity, systemic compromise (such as following major trauma) and need for insertion of metalwork for fracture stabilisation.It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint the injury disrupts the forearm axis joint. Neurovascular injury – nerves and vessels may be compressed due to limb deformity, go in to arteriospasm, develop and intimal dissection or be transected altogether The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint.Soft tissues – this can also range from very little tissue devitalisation to significant muscle/tendon/ligament loss requiring reconstructive surgery.Skin – this can range from a very small wound to significant tissue loss, whereby coverage will not be achieved without the aid of plastics surgery (i.e.The outcomes of an open fracture can be considered in the following way: Whilst any fracture can become open, the most common fractures are tibial, phalangeal, forearm, ankle, and metacarpal. ballistic injury or a direct blow) penetrates the skin, traumatising the subtending soft tissues and bone. This is most often through the skin – however, pelvic fractures may be internally open, having penetrated in to the vagina or rectum.įracture may become open by either an “in-to-out” injury, whereby the sharp bone ends penetrate the skin from beneath, or an “out-to-in” injury, whereby a high energy injury (e.g. PathophysiologyĪ fracture is ‘ open’ when there is a direct communication between the fracture site and the external environment. In this article, we look at the classification, investigations and management of open fractures. Left untreated, open fractures are associated with high rates of morbidity and mortality. ![]() Whilst most of these injuries can be safely managed on next day emergency lists, there are instances where emergency out-of-hours treatment is required. Open fractures are a common presentation to A&E, and require urgent assessment and management by the orthopaedic team.
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