Bilateral Galeazzi fracture-dislocations: a case report of early rehabilitation

Area of Science:

• Orthopedic Surgery
• Traumatology
• Biomechanics

Background:

• Galeazzi fracture-dislocations are complex upper extremity injuries often resulting from high-energy trauma.
• Management requires careful consideration of fracture patterns and radioulnar joint stability.
• Optimal surgical techniques aim for anatomical reduction and early functional restoration.

Purpose of the Study:

• To report the surgical management and outcomes of bilateral Galeazzi fracture-dislocations in a young adult.
• To evaluate the effectiveness of different fixation methods for simple versus comminuted radius fractures.
• To assess the stability of the distal radioulnar joint and functional recovery postoperatively.

Main Methods:

• Surgical fixation of a simple right radius fracture using a limited contact dynamic compression plate.
• Management of a comminuted left radius fracture with a locking compression plate in a bridging fashion, utilizing an external fixator for reduction.
• Postoperative computed tomography (CT) assessment of distal radioulnar joint congruency and initiation of early forearm rotation rehabilitation.

Main Results:

• Successful bone union achieved for both radius fractures at 13-month follow-up.
• Forearm rotation and motion were restored to near-normal levels.
• No instances of distal radioulnar joint subluxation or dislocation were observed postoperatively.

Conclusions:

• Bilateral Galeazzi fracture-dislocations can be effectively treated with tailored surgical fixation strategies.
• Maintaining distal radioulnar joint stability is crucial for successful functional outcomes.
• Early rehabilitation following appropriate surgical intervention promotes excellent recovery of forearm function.