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CASE REPORT
Year : 2014  |  Volume : 14  |  Issue : 2  |  Page : 168-171

Early rehabilitation in unstable bilateral Galeazzi fracture dislocation: Role of transfixing K wires


Department of Orthopaedics, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Correspondence Address:
Daipayan Chatterjee
64/10, Dhakuria Station Road, Kolkata - 700 031, West Bengal
India
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DOI: 10.4103/1319-6308.142378

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The Galeazzi fracture is a fracture of the middle to distal third of the radius associated with dislocation and/or instability of the distal radioulnar joint (DRUJ). Operative treatment followed by conventional immobilization of 6-8 weeks is usually followed by good outcome, but it takes nearly 1 year for occupational rehabilitation and most cases are associated with restricted terminal range of motion. To avoid these consequences, early commencement of rehabilitation is necessary but for that the DRUJ must be stable after radial fixation. Here, we report a case of early rehabilitation in a 36-years-old horse trainer with bilateral Galeazzi fracture dislocation where both DRUJ were unstable after fixation of radius but transfixing K wires provided the required stability needed for early mobilization. The patient had complete range of motion and occupational rehabilitation by 4 months.


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