European Journal of Molecular & Clinical Medicine

Abstract

Introduction: In the overview of literature studies, radiocarpal fracture dislocations are very rare injuries and accounts only 0.2% ¹ of dislocations. The mechanism of injury includes motor vehicle accident, fall from height and work place injuries. These injuries were thought to have poor outcomes and high morbidity.
Purpose of study:-

To enumerate the practical difficulties in fixing a volar radiocarpal fracture dislocations.
To give a functionally mobile joint and prevent the complications of osteoarthritis and arthrosis.

Case report: A 56 years old male, electrician by occupation sustained a self fall from height                (10 feet) while climbing an electric post. He had an open injury to left wrist joint, radius and ulna were dislocated volarly. It was classified as Type 2 radiocarpal fracture dislocation. We fixed it with k-wires and external fixator via dorsal and volar approaches.
Conclusion: Our case study as an adjunct to previous literatures, the outcome came to be good. Radiocarpal fracture dislocation with ulna dislocation needs an earlier intervention with proper preoperative planning. DRUJ instability was common in these patients and required radioulnar pinning.