Percutaneous pinning for non-comminuted extra-articular fractures of distal radius

Das, Abhishek K.; Sundaram, Nandkumar; Prasad, Thiruvengita G.; Thanhavelu, Suresh K.
September 2011
Indian Journal of Orthopaedics;Sep/Oct2011, Vol. 45 Issue 5, p422
Academic Journal
Background: Various treatment modalities have been described for the treatment of extra-articular distal radius fractures each with its own merits and demerits. Most of the work done with percutaneous pinning has shown a significant residual stiffness of the hand and wrist. Our technique involves percutaneous pinning of the fracture and immobilization in neutral position of the wrist for three weeks. This study's aim was to examine the functional outcome of percutaneous K-wiring of these extra-articular distal radius fractures with immobilization in neutral position of the wrist. Materials and Methods: This is a prospective study of 32 patients aged between 18 and 70 years with extra-articular distal radius fracture. Patients were treated with closed reduction and percutaneous pinning using two or three K-wires. A below- elbow plaster of paris dorsoradial slab was applied in neutral position of the wrist for 3 weeks. At the end of 3 weeks, the slab was removed and wrist physiotherapy started. The radiographs were taken postoperatively, at 3 weeks, 6 weeks and 6 months. The functional evaluation of the patients was done at 6 months follow-up. We used Sarmiento's modification of Lindstrom criteria and Gartland and Werley's criteria for evaluation of results. Results: Excellent to good results were seen in 93.75% of the cases while 6.25% had fair results. The complications observed were pin loosening (n=13), pin tract infection (n=2), malunion (n=2), wrist joint stiffness (n=2), reduced grip strength (n=2) and injury to the superficial radial nerve (n=1). Conclusion: Percutaneous pinning followed by immobilization of the wrist in neutral position is a simple and effective method to maintain reduction and prevent stiffness of wrist and hand.


Related Articles

  • Superficial Radial Nerve Injury During Standard K-wire Fixation of Uncomplicated Distal Radial Fractures. Glanvill, R.; Boon, J. M.; Birkholtz, F.; Meiring, J. H.; Van Schoor, A. N.; Greyling, L. // Orthopedics;Jul2006, Vol. 29 Issue 7, p639 

    This study determines the incidence of superficial radial nerve injury after Kirchner wire insertion. An experienced orthopedic surgeon inserted the Kwires into the radii of 92 adult cadavers. Subsequent dissection of the area exposed the superficial radial nerve and any observed nerve injury...

  • Fractures of the elbow: supracondylar fractures. Temple, A.; Bache, C. E.; Gibbons, P. J. // Trauma;Jul2006, Vol. 8 Issue 3, p123 

    Fractures about the elbow are second in frequency only to the distal radius. Trauma specialists should be familiar with the range of possible injuries, complications, and be confident in their diagnosis and management.

  • A Comparison between Anterior Approaches Versus Posterior Surgical Approach in Acetabular Fractures. Mokhtarmanand, Jafar Soleimanpour; Porvatan, Rogaie; Tabrizi, Ali // Medical Journal of Tabriz University of Medical Sciences & Healt;Feb\Mar2013, Vol. 34 Issue 6, p13 

    Background and Objectives: Acetabular fractures still are challenging fractures, and it is because of complex anatomy, that hampers the surgical access to fracture sites. Proper evaluation and surgical planning is necessary to achieve anatomic reduction of the articular surface and stable...

  • Review: Evidence on surgical interventions for distal radial fractures is inconclusive. Kreder, Hans J. // ACP Journal Club;May/Jun2002, Vol. 136 Issue 3, p112 

    Comments on a study which examined surgical interventions for treating distal radial fractures in adults. Effectiveness of surgical treatment in adults with fractures of the distal radius; Methods to achieve and maintain reduction.

  • Resultado clínico-radiológico del tratamiento quirúrgico de las fracturas intra-articulares del calcáneo. Blass Jaimes, Paul Felipe Netzahualcóyotl; Mendoza, Israel Gutiérrez; Pichardo, Tulio Horacio Makkozzay // Acta Ortopedica Mexicana;ene/feb2004, Vol. 18 Issue 1, p21 

    Objective: To evaluate the clinical-radiological results of the intra-articular fractures of the calcaneus under opened surgical treatment. Material and methods: It was made an analytical cross-sectional study of 21 patients of any age, sex and occupation with intra-articular fracture of...

  • Minimally invasive surgery may be a viable option for treating calcaneal fractures. Brockenbrough, Gina // Orthopedics Today;Nov2009, Vol. 29 Issue 11, p35 

    This article discusses research being done on minimally invasive surgery as a viable option for treating calcaneus fractures.

  • Surface replacement solutions for the arthritic hip. Goldberg, Victor M. // Orthopedics;Sep2005, Vol. 28 Issue 9, p943 

    Surface replacement is a conservative treatment for young, active patients with hip osteoarthritis. It provides an increased range of motion as the result of a larger diameter head and improved wear characteristics because of the metal-on-metal articulation as well as an extremely low...

  • A reduction clamp for an aiming component in associated acetabular fractures. Zhang‑Fu Wang; Zheng‑Hua Hong; Mei‑Zhen Wang; Jian-Wei Ruan; Wei Wang; Wei‑Bo Pan // Indian Journal of Orthopaedics;Jan/Feb2015, Vol. 49 Issue 1, p101 

    Background: The treatment of acetabular fractures is complex and requires specialized equipment. However, all currently available instruments have some disadvantages. A new reduction clamp that can firmly enable reduction and not hinder subsequent fixation procedures for some special fracture...

  • Pelvic Fracture.  // European Journal of Trauma;Apr2006 Supplement, Vol. 32, p86 

    The article presents abstracts of research related to pelvic fracture. They include "Acetabular Fractures - Open Reduction or Percutaneous Techniques?" "Acetabular Fractures in the Elderly," and "Bigastric Osteotomy of the Greater Trochanter - Indications for the Extended Dorsal Approach."

  • Basicervical Versus Intertrochanteric Fractures: An Analysis of Radiographic and Functional Outcomes. Su, Brian W.; Heyworth, Benton E.; Protopsaltis, Themistocles S.; Lipton, Carter B.; Sinicropi, Stephano M.; Chapman, Cary B.; Kuremsky, Marshall A.; Rosenwasser, Melvin P. // Orthopedics;Oct2006, Vol. 29 Issue 10, p919 

    This retrospective study compared the long-term stability and functional outcomes of basicervical versus intertrochanteric fractures, and evaluated the use of an additional derotational screw in the treatment of basicervical fractures. Sixtysix patients (28 with basicervical fractures and 38...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics