1. Galeazzi fracture: 1/3 radius fracture combined under radioulnar joint dislocation, usually unstable, which can be caused by direct violence and indirect violence.
2. Distal radius fractures: distal radius between 2-3cm, with older women, youth and children common. Complicated wrist joint, the distal radioulnar joint injuries. Type:
(1) Colles fracture: hands palm, distal dorsal radial displacement.
(2) Smith fracture: hand carrying, the distal ulnar palm shift.
(3) Barton fracture: palm or hand carrying, the distal radial articular surface vertical oblique fractures, distal to the palm or dorsal displacement.
Galeazzi fracture
No manual reduction, external fixation, surgery is usually needed:
1. fresh fractures: open reduction and internal fixation of the radial, and reset ulnar joint next.
2. old fractures: open reduction and internal fixation of the radial, and resect ulnar head.
Distal radius fracture
1. Conservative treatment
1) straight fractures: manual reduction, fix deviation palm by four headband for a month
(2) flexion fractures: manual reduction, fix dorsiflexion pronation by four headband for a month.
2. Surgery
(1) surgical indications: manual reduction and external fixation failure; open fractures; the same limb multiple fractures; nonunion, malunion; vertical oblique fracture
(2) surgical methods: open reduction and internal fixation (Kirschner wires, screws, plates).
1. The diet should be with high protein, high-calorie, digestible calcium-rich diet, Drink more water, and eat more fruits or vegetables to prevent constipation.
2. Maintain the correct posture and maintain effective fixation.
3. Gradual exercise to prevent muscle atrophy.
4. Periodic review.
