Surgical hardware is usually permanent, with less than 10 of patients needing hardware removal. Patients with high demand activity (manual workers and athletes) may need up to 12 to 16 weeks of rehab. A high index of suspicion, early recognition, and acute treatment of DRUJ instability will avoid chronic problems in this complex injury. Typical return to full activity in patients with low physical demands can happen after 8 to 12 weeks. Internal fixation is a safe method for such complex forearm frac- tures in older children and allows post-operative rehabilitation with the advantage of early. Only one of these fractures had intraoperative DRUJ instability after open reduction and internal fixation of the radial shaft fracture. 9 10 11 12 Typically, osteosynthesis of the radial. Eighteen type II fractures were in the middle third of the radial shaft more than 7.5 cm from the midarticular surface of the distal radius. The current standard of treatment of acute Galeazzi fractures is open reduction and internal fixation of the radius and DRUJ. Twenty-two type I fractures were in the distal third of the radius within 7.5 cm of the midarticular surface of the distal radius 12 of these cases were associated with intraoperative DRUJ instability. Two patterns of fracture-dislocation were identified based on the location of the radial shaft fracture. reported early motion protocol for Galeazzi fracture-dislocation, and 92 of the patients successfully completed the protocol (Table 1). Intraoperative distal radioulnar joint (DRUJ) instability after anatomic reduction was managed with supplemental wire transfixion of the DRUJ (10 patients) or open reduction and triangular fibrocartilage complex repair (3 patients). However, postoperative treatment for Galeazzi fracture-dislocation may be open to further discussion depending on the congruity and stability of the DRUJ. Forty patients with Galeazzi fracture-dislocations were treated with open reduction and internal fixation of the radial shaft fracture.
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