Ablation of Distal Ulna as an Index Procedure in A Complex Open Distal Radius-Ulna Fracture with Defective Soft Tissue Coverage

Abstract

Unstable open fracture of the distal ulna with severe soft tissue disruption in association with distal end radius fracture may be beyond the scope of fixation. There is little scientific support to guide the management of this devastating fracture. We opted to perform a distal ulna resection in a young patient at the time of definitive rigid fixation of the distal radius and successfully managed to close the wound primarily. This technique has provided a reproducibly satisfactory reconstruction and maintenance of reasonably near normal wrist joint biomechanics.