How long does it take to recover from a Gay fracture?

  A Galeazzi fracture is a fracture of the middle and lower third of the radius combined with a dislocation of the lower ulnar radial joint. In 1934 Galeazzi described this injury in detail and recommended strong traction on the thumb to fix it. Since then, the injury has been referred to as a Galeazzi fracture. It has also been referred to as a Piedmon fracture. Galeazzi fractures can be caused by a direct blow to the dorsal radius of the distal 1/3 of the radius, by a fall with the hand on the ground conveying stress, or by a machine strangulation. The fracture has different characteristics depending on the mechanism of injury.  Treatment of Galeazzi fractures is not difficult to reposition under traction, but it is not easy to maintain the repositioned position. Several forces pull on the distal fracture segment of the radius, causing it to re-displace. Even when the wrist is fixed in an ulnar deviation cast, the success rate of closed reduction is low and the outcome is highly unsatisfactory. In order to obtain good forearm rotation and to avoid disruption of the lower ulnar radial joint, the radial fracture must be incised and repositioned.  The radial fracture is fixed surgically using a plate of adequate length and strength. After surgery, the forearm and wrist should be fixed in a neutral position for 3-4 weeks with a short arm cast in anterior and posterior support or a “U” shaped cast to allow the injured tissues around the lower ulnar radial joint to heal and to avoid late instability of the lower ulnar radial joint. After removal of the cast, functional exercises were actively performed. The healing time of the fracture end is not exactly the same due to individual differences. In general, bony healing can be obtained within six months after surgery, and some patients can obtain strong healing only at one year after surgery. If bony healing is not achieved 1 year after surgery, it is abnormal.