M.E.Müller: Atlas: Fracture 22-C2

Radius/Ulna, Diaphysis,
complex fracture,
radius 0,17% of the total
1,31% of the radius/ulna
5,38% of the segment

40 fractures
43,5% group
83%M, 17%F

35 fractures
38,0% group
64%M, 36%F

17 fractures
18,5% group
80%M, 20%F

Segmental, ulna intact +Q Segmental, ulna fractured +Q Irregular +Q

These are segmental fractures of the radius combined with an intact ulna (.1) or with a fracture of the ulna (.2). Ref. Manual of Internal Fixation:
232 - 251. 466 - 475.
Surgeon. CB, RO.

To the complexity of the fracture itself, one must add the factors of seriousness represented by the lesion of the interosseous membrane and, frequently, by the lesions of the muscles, tendons and skin that may determine the approaches.

As a rule for the treatment of these fractures, the recommendation is to first reduce and provisionally fix the ulna. However, if the radius is easier to reduce, one must certainly take advantage of that. Anatomic reductions are absolutely mandatory. When the

multifragmentation is extensive, the fragments should be reduced to a previously contoured plate and fixed with its screws, possibly combining them with the mini-fragment screws.

The surgery of the multiple fractures of both bones of the forearm, carriers of the hand, does not permit imperfections. It should not be performed as an emergency but only by a highly qualified surgical team with the availability of the appropiate instrumentation including the mini-fragment set.

preoperative preoperative + 3 years + 3 years

preoperative preoperative + 3 years + 3 years




						Radius/Ulna, Diaphysis, complex fracture, radius	0,17% of the total 1,31% of the radius/ulna 5,38% of the segment






These are segmental fractures of the radius combined with an intact ulna (.1) or with a fracture of the ulna (.2).		Ref. Manual of Internal Fixation: 232 - 251. 466 - 475. Surgeon. CB, RO.

To the complexity of the fracture itself, one must add the factors of seriousness represented by the lesion of the interosseous membrane and, frequently, by the lesions of the muscles, tendons and skin that may determine the approaches. As a rule for the treatment of these fractures, the recommendation is to first reduce and provisionally fix the ulna. However, if the radius is easier to reduce, one must certainly take advantage of that. Anatomic reductions are absolutely mandatory. When the	multifragmentation is extensive, the fragments should be reduced to a previously contoured plate and fixed with its screws, possibly combining them with the mini-fragment screws. The surgery of the multiple fractures of both bones of the forearm, carriers of the hand, does not permit imperfections. It should not be performed as an emergency but only by a highly qualified surgical team with the availability of the appropiate instrumentation including the mini-fragment set.