Abstract
We report 10 cases of acute Galeazzi fracture-dislocations which we treated during a three years period. The mean age of the patients was 51.4 years, and six of them had classical Galeazzi fractures, and four had Galeazzi-equivalent fractures. Three fractures were treated by closed reduction and percutaneous pinning, three with open reduction and internal plate fixation, three with external fixation and bone graft, and one with open reduction and internal K-wire fixation.
All fractures were evaluated using Kanazawa's criteria. Results were judged to be excellent in five cases, fair in three, and poor in two. The two poor in two. The two poor cases were older women, one with osteoporosis the other with a comminuted fracture of the distal third of the radius.
Computerized tomography was valuable in diagnosing subluxation of the distal RU joint.
Postoperative temporary K-wire fixation of the distal RU joint in the neutral forearm position was effective.
