Bilateral Galeazzi fracture-dislocations: a case report of early rehabilitation |
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Authors: | Shingo Komura Hidehiko Nonomura Takashi Satake Tatsuo Yokoi |
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Institution: | Department of Orthopaedic Surgery, Gifu Prefectural General Medical Center, Gifu, 500-8717, Japan, rbyshingo@yahoo.co.jp. |
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Abstract: | A 24-year-old man had bilateral Galeazzi fracture-dislocations due to a motorcycle accident. The right radius fracture was a simple fracture and was fixed with a limited contact dynamic compression plate. The left radius fracture was a comminuted fracture and was fixed with a long locking compression plate in the bridging plate fashion while maintaining reduction with a temporary external fixator. Postoperative computed tomography under passive rotation of both forearms showed acceptable congruency of the distal radioulnar joints, and early rehabilitation of forearm rotation was started at 2 weeks after the operation. At 13-month follow-up, bone union of both fractures was achieved, and forearm motion was almost restored to normal. Moreover, no subluxation or dislocation of either distal radioulnar joint was observed. |
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Keywords: | Galeazzi fracture-dislocations Open reduction and internal fixation Distal radioulnar joint Rehabilitation |
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