Abstract
The case of a patient suffering from Alzheimer’s disease who sustained
epiphyseal, severely dislocated fractures of the distal radius and ulna is
reported. As the patient was incapacitated and attempts to contact her curator
failed, the decision was made on a conservative treatment of the fractures. This
treatment eventually failed and resulted in malunion with exposure of bone
fragments above the skin. After obtaining informed consent from her curator, a
corrective osteotomy was performed using an original method, followed by
fixation of bone fragments in almost anatomical position by intramedullary K
wires. At a 6-month follow-up, the patient was using her hand in daily life and
did not complain of any pain. An X-ray showed consolidation of the bones in the
distal forearm in an acceptable position.
