PMC8046482_01
X-ray at initial injury.
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F1
Eight years ago, the patient fell from the horse back and sustained a closed bifocal fracture of the radius (radial shaft and distal radius) and a fracture of the ulnar shaft (Fig. 1), initially treated with open reduction and internal fixation (plates and screws for the forearm diaphyseal fractures and a palmar plate for the distal radius fracture) (Fig. 2).
Pre-operative X-ray as presented to us, before last procedure.
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F3
Elbow flexion was restricted to 20  and wrist range of motion was 20-0-20  (Fig. 3).
Post-operative X-ray.
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F4
Intraoperative cultures of soft tissues and bone were obtained to rule out infection (Fig. 4).
One-month post-operative X-ray.
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F5
The patient was followed up at 1, 2, 4, and 7 months and 1 year postoperatively with clinical evaluation and radiological examination (Fig. 5, 6).
One-year post-operative X-rays
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F6
The patient was followed up at 1, 2, 4, and 7 months and 1 year postoperatively with clinical evaluation and radiological examination (Fig. 5, 6).