Fundación Maurice E. Müller - España

Foundation Overview Teaching Activities and ServicesComprehensive Classification SystemBooksData Base of Fractures CasesResearch  ActivitiesWebsite Map
Atlas of International Fixation Errores en la Osteosíntesis Atlas de Artroscopia
Introduction Presentation Explanation Main Index Collaborations

  Radius/Ulna, Proximal,
articular fracture, both bones,
multifragmentary
0,07% of the total
0,58% of the radius/ulna
1,87% of the segment
 

14 fractures
34,2% group
39%M 61%F
 

19 fractures
46,3% group
42%M 58%F
 

8 fractures
19,5% group
57%M 43%F
 
             
      Three fragments each bone (radius)       Ulna more than 3 fragments +Q       Radius, more than 3 fragments +Q  
   
These are articular fractures of both bones of the forearm. Ref. Manual of Internal Fixation:
184 - 187. 204 - 208. 458 - 465.
Surgeon. RO.

The results are always uncertain because of the difficult simultaneous reduction and containment of both joints and especially because of the difficulty to obtain early motion. Heterotopic ossification is an added complication.

Reconstruction of the ulna is essential in order to avoid

 

secondary dislocations. The radial head should be reconstructed if at all possible but, if the radius congruence is in doubt and a good stable reduction of the ulna is obtained, the excision is preferable in order to maintain the pronation and supination, an especially important function in an elbow with a limited flexion-extension motion.