![]() ![]() This journal was for many years the official journal of the Italian Orthopedic Society. He also directed the Archivio di Ortopedia, the oldest periodical devoted to Orthopedic Surgery for 35 years. 8– 12 He served as Director of the Institute for Crippled Children at Milan, Professor of Clinical Orthopedics and Traumatology, and Dean at the University of Milan. Professor Riccardo Galeazzi was one of Italy’s most distinguished orthopedic surgeons who contributed to clinical and academic medicine in many ways. 3 From these original materials, we present the management of the Galeazzi fracture over two centuries, and summarize the life and contributions of Riccardo Galeazzi. 11, 12 We also secured a copy of Coopers’ article from 1825 describing this injury. ![]() 10 In addition, we translated his original articles that described the Galeazzi fracture, 4, 5 and two biographical articles published in the Italian literature. We undertook an extensive literature search, contacted the Archives at the University of Milan, and secured a copy of his curriculum vitae from 1933. 8, 9 This paucity of information is not surprising because almost all of Galeazzi’s publications are in Italian and German. A PubMed search for ‘Riccardo Galeazzi’ returned only two results. On the contrary, little has been written about Galeazzi himself. 7 A PubMed search for the term ‘Galeazzi fracture’ returned a little over 100 results. 4, 5 This fracture is also eponymically referred to as a reverse Monteggia fracture, 2 a Piedmont fracture, 2 a Darrach-Hughston-Milch fracture, 6 and a fracture of necessity. This fracture pattern was first described by Cooper in 1822, 3 but it is Galeazzi, who in 1934 presented a series of 18 patients with this injury, and elaborated on the incidence, pathomechanics, and management. These include, in children, a fracture of the radial shaft associated with a separation of the distal ulnar epiphysis without a disruption of the DRUJ, 1 and in adults, a fracture of the radial shaft associated with an additional fracture of the distal ulna. 1 In addition, certain injuries are considered as a Galeazzi’s equivalent. Use of validated outcomes measures is recommended.The Galeazzi fracture is an unstable fracture-dislocation of the forearm that includes a fracture of the shaft of the radius and a dislocation of the distal radio-ulnar joint (DRUJ). Randomized controlled studies with larger sample sizes and longer follow-up periods are needed to determine which treatment option is optimal. ![]() For both nonunion / delayed healing and complications, rates varied widely between studies and did not consistently favor one treatment method over the other. Cosmetically, IMN provided significantly better results (ie, smaller incision / scar length) than ORIF as assessed by two studies. In one study, a statistically significant difference was found in the average radial bow location in the IMN group as compared with both the ORIF group and normative values. Small sample sizes may have precluded detection of statistically significant differences. No statistically significant difference between treatment groups was found with regard to functional outcomes or the average magnitude of radial bowing. Six small retrospective cohort studies shed little light on whether intramedullary nailing (IMN) or open reduction internal fixation (ORIF) with plate fixation is more effective in treating both-bone forearm fractures in children. Buy Article Permissions and Reprints Summary ![]()
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