PURPOSE: Fractures of the radial shaft associated with disruption of the distal radioulnar joint (DRUJ) are termed as @entity174 . In @entity174 , the aim of treatment is restoring the congruency of the joint and the stability of the DRUJ, thus preventing a loss of pronation or supination. @entity1 AND METHOD: In this study, we included 24 @entity1 (m = 22, f = 2) with 25 Galeazzi @entity174 treated between 1980 and 1998. Surgical treatment and the duration of therapy were analyzed retrospectively. The clinical and radiological results of 15 @entity1 were followed up. Two @entity1 were treated conservatively with immobilization in an above-the-elbow plaster. 19 @entity1 were treated surgically by rigid internal fixation with a plate approximately one week after the accident. Four @entity1 were treated initially in a different way. In 13 cases, the distal radioulnar joint was immobilized by pinning with Kirschner wires. In ten @entity1 , the DRUJ showed no instability. @entity1 with DRUJ pinning received an above the elbow plaster for six weeks, the other @entity1 received a forearm cast for the time of wound healing. RESULTS: Two @entity1 developed a @entity1516 following Kirschner-wire or rush-pin osteosynthesis. The consolidation of remaining @entity174 was regular. In two @entity1 , the DRUJ was not completely stable after temporary fixation. The remaining @entity1 revealed a stable DRUJ. Eight @entity1 showed a limited pro- or supination after temporary Kirschner wire fixation of the DRUJ. The other @entity1 did not reveal a decrease in range of motion. CONCLUSION: A stable and optimal reduction and a rigid internal osteosynthesis are requisites for healing of the radius fracture. Open reduction of the DRUJ is only indicated when soft tissue interposition prevents exact reposition. Surgical revision of the distal radioulnar joint was not necessary in our @entity1 . @entity1 after Kirschner-wire fixation showed a diminished pro- or supination. To prevent Kirschner-wire failure, postoperative cast immobilization is indicated. Due to the retrospective nature of the study it is not definitely clear if Kirschner wire fixation is superior to immobilization.

[Treatment of XXXX - is the surgical revision of the distal radioulnar joint necessary?].

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'PATIENTS'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', "Galeazzi's fracture", 'Galeazzi-fractures'] @entity1516 :: ('MESH:D011542', 'Disease') :: ['pseudarthrosis']
@entity174 :: (MESH:D050723,Disease) :: ['Galeazzi's fracture']
