2017, Vol. 1 Issue 3, Part A
Surgical management and functional outcome of Galeazzi fracture dislocation
Author(s): Dr. Malleswara Rao Perumalla Venkata Naga and Dr. Jagadeesh Babu Somesula
Abstract: Galeazzi fracture is a condition where there is distal radial shaft fracture associated with disruption of the distal radioulnar joint. Although Galeazzi fracture patterns are uncommon, they are estimated to account for about 3% of all forearm fractures in children and about 7% in adults and are seen most often in males. The present study was conducted on n=25 subjects of which n=2 were children and n=23 adults with classic Galaezzi lesions in the Department of Orthopaedics, Jagadguru Jayadeva Murugarajendra Medical College, Davangere, Karanataka, India, who attended the outpatient or the emergency service of Bapuji Hospital and Chigateria Genral Hospital, Davangere, Karanataka, India. Twenty three patients were treated by dynamic compression plate and intramedullary nail in adults and conservatively with closed reduction in children (n=2). Majority of the patients were in the age group of 20-30 years with mean age 26.32 years and majority were males in the ratio of 4:1. The functional outcome results at follow up were assessed according to Mikic’s criteria and rated as excellent, fair and poor. In this study the functional outcome results in children’s (n=2) group, in n=2 excellent results were achieved. Out of n=23 adult patients, n=21 had excellent result, n=1 fair and n=1 had poor result. This study showed that Galeazzi fracture patients treated with dynamic compression plate and intramedullary nail in adults had excellent functional outcome results in adults.