Results of surgical treatment of Galeazzi fractures in adults about 32 cases

Abstract

Introduction: The treatment of Galeazzi fractures is definitely surgical. However, the choice of therapeutic strategy remains controversial. The aim of this study was to report our results of surgical treatment of Galeazzi fractures.

Patients and methods: A retrospective descriptive study was carried out over 3 years. Were included 32 patients operated for Galeazzi fracture. The average age was 32 years. Front and lateral forearm x-rays were used for lesion diagnosis and measurements. The radius fracture was located in the middle third for 71% of cases. The average distal radio- ulnar index was 3.6 mm. Osteosynthesis of the radius was carried out using a screwed plate before stability testing of the distal radio-ulnar joint. In case of instability, ulno-radial pin fixation wirst in supination was done for 45 days. At the mean follow-up of 38 months, all patients were evaluated using Mestdagth score.

Results: Bone consolidation was achieved within an average time of 75 days. At a mean follow-up of 38 months, internal fixation by radial plate and ulno-radial pinning achieved a good functional result in 73.7% of cases (p=0.03). Patients treated only by pinning without use of plate had a poor functional score.

Conclusion: The treatment of Galeazzi fractures using a radial screwed plate and radioulnar pinning provides satisfactory results and a low complication rate.