6 Open Treatment of Galeazzi Fractures

Any displaced fracture of the distal radius with an associated dislocation of the distal radioulnar joint (DRUJ) (Fig. 6-1)

Technique

• Palmar approach via zigzag incision over flexor carpi radialis (FCR) sheath (Fig. 6-2)
  
• Retract FCR radially.
  
• Incise floor of FCR sheath.
  
• Elevate pronator quadratus off of radius by subperiosteal dissection working from radial to ulnar.
  
• Extend the dissection proximally, elevating and retracting the fibers of the flexor pollicis longus in a radial direction.
  
• Debride fracture site and attempt provisional reduction.
  
• Apply palmar plate with provisional fixation: 2 screws distally and 2 screws proximally (Fig. 6-3).
  
• Check plate and fracture position with intraoperative radiographs.

Figure 6-1

Figure 6-2

Related posts:

Intra-articular Fractures of the Distal Radius Treated with Dorsal Plate Nonunion of an Ulnar Neck Fracture Percutaneous Screw Fixation of Scaphoid Fractures Flexor Carpi Radialis Tendon Stabilization of the Scapholunate Joint (Brunelli Procedure) Closed Reduction and Internal Fixation of Bennett’s or Rolando’s Fractures Capitate Shortening with Capitohamate Fusion

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