$wrist distal radius fracture$ $wrist distal radius fracture$

#Wrist distal radius fracture skin#

She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. He put in a rod and two screws in her hip.

$wrist distal radius fracture$

Karkare, who was on standby, perform the surgery. It just so happened that we were very fortunate enough to have Dr. This would be her third time under the knife in the past year. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. Jefferson and my wife, Mary Ann, broke her hip. The patient was extubated and moved to recovery in a stable condition.ĭisclaimer – Patient’s name, age, sex, dates, events have been changed or modified to protect patient privacy. We did not find the need of putting radioulnar K-wires. The x-rays were done before completing the surgery to find that the radioulnar joint was stable and intact. A Longarm splint was applied in supination. The dressing was done using Adaptic, 4 x 8, Webril.

#Wrist distal radius fracture skin#

The closure was done for the subcutaneous using Vicryl #2-0 and the skin using Monocryl #4-0. Surgicel was put in the wound to avoid the ooze. The final fixation was checked under C-arm and found to be acceptable. A proximal fixation of the radius was done using a combination of locking and non-locking screws. The distal fixation was done using multiple locking screws. This screw was later removed and exchanged for a locking screw. Again, checking the reduction to be acceptable, the distal plate was fixed to the distal end of the radius.Ī 26 mm cortical nonlocking screw was used to pull the plate to the bone. Fixation of the plate to the proximal radius was done with a nonlocking screw. Provisional fixation of the plate was done with a cortical screw oblong hole. AP and lateral views were checked and found to be satisfactory. Post-operative x-ray of the wrist in lateral view.Ī 5-hole distal radius plate was put and held with a radial olive wire. The reduction was checked under C-arm and found to be acceptable. The fracture was reduced and clamped with a reduction clamp and a lobster clamp. The fracture site was opened and washed thoroughly. The bone was reached and the fracture was exposed. The pronator quadratus was cut along the lateral border of the radius leaving a cuff of muscle. With blunt dissection, the superior surface of the pronator quadratus was reached. The feeder vessels of the radial artery were cauterized and cut. The flexor carpi radialis was affected medially. The radial artery was retracted laterally to find the interval between the brachioradialis and the flexor carpi radialis. With blunt dissection and achieving hemostasis using bipolar cautery, the radial artery was reached. After the skin incision, the superficial fascia was incised along the line of the incision. The distal one-fourth of the volar Henry approach was utilized for the incision. The surgical incision was marked along with Henry’s approach. Time-out was called after the preop antibiotic was given. The left upper extremity was prepped and draped aseptically in the usual fashion. A tourniquet was applied on the left upper extremity. The patient understood and signed the informed consent.ĭESCRIPTION OF PROCEDURE: The patient was taken to the operating room where she was placed on a well-padded operating room table. The risks, benefits, and potential complications including infection, bleeding, nonhealing, failure of implants, need for repeat surgery, wrist arthritis, and need for rehabilitation among others were discussed with the patient. Various treatment options were discussed with the patient at length and the patient opted for surgical management. Further radiological studies in the form of CT scan revealed rotation of the distal fragment, with approximately 24 degrees of resulting apex-volar angulation. There is a nondisplaced fracture of the distal left ulna. The x-ray of the left wrist revealed an oblique fracture of the distal left radius which communicates with the articular surface. The distal neurovascular examination of the left extremity was normal. There was tenderness to palpation of the radial and the ulnar styloid. The physical examination of the left upper extremity revealed swelling, warmth, and deformity of the distal forearm. X-ray showing distal radius fracture in AP view.

$wrist distal radius fracture$