A New External Fixation Method In Colles' Fracture Associated With The Distal Radioulnar Joint Dislocation In Elderly Patients

Background: Isolated distal radioulnar joint (DRUJ) dislocation is uncommon. It always associated with the radius and ulna fracture (distal radius fracture, Galeazzi, Monteggia fracture or the Essex-Lopresti forearm fracture). Many of DRUJ dislocation associated with distal radius fracture, especially Colles' fracture. Volar locking plate (VLP) must be used to fix the distal fragments and the cast used to keep the correction of the DRUJ necessarily in the traditional methods. The patients may have a lot of long-term complications (Especially forearm rotation disfunction, a high risk of wrist-stiffness and wrist pain). Material and method: We report a 65 year old man who had a Colles' fracture associate with a DRUJ dislocation after a fall to the ground. Results: In this case, we treated him with a new external fixation method and had achieved a satisfactory radiographic and functional outcome after 2 years since the operation. Conclusions: We conceive that this new external fixation method would become an alternative treatment method for such injury as Colles' fracture associated with the dislocation of DRUJ.