(case submitted June 6, 2007)
The patient is a 73 YO woman who was walking with her walker in the back yard and lost her balance, striking her left non-dominant wrist against a brick wall. She was brought by amulance to the ED. Her radius and ulna were protruding through two dorsal wounds:
These xrays were obtained:
(1) What would your recommendation be with respect to the debridement?
(2) What would be your treatment in terms of timing: delayed fixation after a second look and debridement, or immediate fixation?
(3) What would your choice of fixation be, ex fix or internal fixation? What kind of internal fixation?
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