Darrach's Procedure ,locking volar plate , bone graft

GCT

NEGLECTED Distal End Radius #

60 yr Male Right handed and farmer by occupation
History of fall 20 days back
Taken no treatment
Presents with
a deformity of left wrist
Ulcer over ulnar aspect of wrist
ROM Restricted and painfull
No neuro vascular deficits

ozone action on gloves

ozonolysis

L5 S1 disc bulge sagital section

axcial section

spinal needle in L5S! disc space n ozone gas injected
white shadow in disc shows ozone in nucleus of disc

lunate excission . palmaris longus interpositional arthroplasty

extended carpal tunnel release inscission taken

lunate visualized protruding in fossa

lunate excised,

palmaris longus tendon striped

tendon rolled . fixed vicril into the space

lunate dislocation 3 months old