Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is ORIF Appropriate For Left Radius Fracture?
Question: Hi,
This 48 years old female member presented to the hospital after an accidental fall at home and injuring her left wrist. She presented with pain and swelling in the left wrist. X-Rays were done and revealed Left Radius Fracture
On Examination:
Patient was distressed with pain and swelling in the left wrist
X-Ray Left Wrist:
Comminuted Fracture of left distal radius is identified
Fracture line is reaching the articular surface
Butterfly fracture is noted at the radial aspect
Dorsal angulation of the distal fractured fragment is identified carrying the wrist joint with it resulting in dinner fork deformity
Fracture of ulnar process is also noted
Diagnosis:
Left Comminuted Radius and Ulnar Fracture
As per the above findings will ORIF be done as an emergency or a cast should be applied and treated electively. (as per the guidelines) and why?
thank you
This 48 years old female member presented to the hospital after an accidental fall at home and injuring her left wrist. She presented with pain and swelling in the left wrist. X-Rays were done and revealed Left Radius Fracture
On Examination:
Patient was distressed with pain and swelling in the left wrist
X-Ray Left Wrist:
Comminuted Fracture of left distal radius is identified
Fracture line is reaching the articular surface
Butterfly fracture is noted at the radial aspect
Dorsal angulation of the distal fractured fragment is identified carrying the wrist joint with it resulting in dinner fork deformity
Fracture of ulnar process is also noted
Diagnosis:
Left Comminuted Radius and Ulnar Fracture
As per the above findings will ORIF be done as an emergency or a cast should be applied and treated electively. (as per the guidelines) and why?
thank you
Brief Answer:
Close reduction and per cutaneous K wire or JESS fixator will be suitable.
Detailed Answer:
Hl
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. There are three options. One is close reduction and hold by external fixation or per cutaneous K wire fixation. It is generally most accepted method.
Other option is close reduction and cast application but in this method late collapse and malunion is comman.
Third method is open reduction and internal fixation.
Supporting of fracture by slab/ cast should be carried out as emergency procedure to reduce pain of fracture. But internal or external fixation is semi emergency or planned procedure.
Choice of procedure depends on fracture type, patients profile and surgeons choice and expertise. I personally favour close reduction and fixation by K wires or JESS external fixator. I can serve you better if you upload x Rays.
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Close reduction and per cutaneous K wire or JESS fixator will be suitable.
Detailed Answer:
Hl
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. There are three options. One is close reduction and hold by external fixation or per cutaneous K wire fixation. It is generally most accepted method.
Other option is close reduction and cast application but in this method late collapse and malunion is comman.
Third method is open reduction and internal fixation.
Supporting of fracture by slab/ cast should be carried out as emergency procedure to reduce pain of fracture. But internal or external fixation is semi emergency or planned procedure.
Choice of procedure depends on fracture type, patients profile and surgeons choice and expertise. I personally favour close reduction and fixation by K wires or JESS external fixator. I can serve you better if you upload x Rays.
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
