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из Due to so many other injuries sustained by him, this has been inadequately treated and he has ended up today like this. Very prominent distal ulna and a mobile fracture distal radius. No infection. Wrist flexion, extension fully free and so also the fingers. He has a good grip too. He wants correction of this deformity. I have opined as follows. Exfix with two pins in the distal radius and two proximally. Distract gradually till the DRUJ is properly aligned. 1)If one is lucky some bone would have formed in between which may be good enough. Continue ExFix till it is solid. 2) If we find that no bone is forming by 2 weeks, we can distract a bit faster Once the DRUJ is aligned and there is gap left, we can put in a small piece of fibula under tension and continue the ExFix till it is consolidated. If one is used to, a plate can be used to fix the radius along with the graft. This will shorten the ExFix time Suggestions are welcome V M Iyer . Iyer Orthopaedic Centre, 103,Railway lines Solapur India
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