Surgical Treatment Of Radius Distal Epiphysis Fracture

For all traumatic or chronic diseases of the musculoskeletal system, the Centrokinetic private clinic in Bucharest is prepared with an integrated Orthopedic Department, which offers all the necessary services to the patient, from diagnosis to complete recovery.

The Department of Orthopedic Surgery of Centrokinetic is dedicated to providing excellent patient care and exceptional education for young physicians in the fields of orthopedic surgery and musculoskeletal medicine.

Centrokinetic attaches great importance to the entire medical act: investigations necessary for correct diagnosis (ultrasound, MRI), surgery, and postoperative recovery.

Discover the open MRI imaging center in our clinic. Centrokinetic has a state-of-the-art MRI machine, dedicated to musculoskeletal conditions, in the upper and lower limbs. The MRI machine is open so that people suffering from claustrophobia can do this investigation. The examination duration is, on average, 20 minutes.

The fracture of the distal radius epiphysis is extremely common and frequent, the osteoporotic bone being very susceptible to this fracture. Mechanism of production is a fall injury with the hand in extension (most common) or flexion. Depending on how the patient falls with his hand, these fractures can be classified into:

• Dorsal fracture (Colles)
• In-Plane displacement fracture (Smith)
• Intra-articular fracture (Barton).

This fracture is very common among the elderly and especially the elderly, being easy to diagnose due to pain, functional impotence, and deformity of the fist region, symptoms that accompany this type of fracture.

For fractures without displacement, it is recommended an immobilization with a V-forearm-palmar splint, for 4 weeks, following another radiological control and change the immobilization with a circular plaster. For the stable displaced fractures, a closed reduction with local anesthesia (Xilina) is performed, followed by a 3-week immobilization in the V-forearm-palmar splint, then in a physiological position. 3 weeks.

The orthopedic reduction involves performing a puncture at the level of the fracture site through which the evacuation of the local hematoma is followed, followed by performing local anesthesia with Xilina 1%. The reduction involves performing a movement in the opposite direction to that which caused the fracture. If the hand is very swollen, apply ice and keep the hand in a prone position (up) for 30 minutes.

For unstable displaced fractures, surgical treatment is recommended.

Under general or locoregional anesthesia (in the brachial or axillary plexus), an incision of about 5 cm is made on the palmar region. A thorough dissection of the subcutaneous tissue is performed and the radial artery and the median nerve are identified and removed from the operative plane.