Distal Radius Fractures: Evaluation of Closed Reduction and Percutaneous Kirschner Wire Pinning

Abstract

Objective Closed reduction and percutaneous pinning (CRPP) is losing popularity as a treatment modality for distal radius fractures. However, in select cases, CRPP may have advantages relative to open reduction and internal reduction. We aimed to retrospectively assess the outcomes after CRPP for the treatment of distal radius fractures. Study Design This is a retrospective cohort study. Methods We used billing records to identify all skeletally mature patients with a distal radius fracture who were treated with CRPP by a single surgeon at a level I trauma center in an urban city in the United States. We assessed the medical charts and recorded demographics, trauma and treatment characteristics, radiographic characteristics, and outcomes. Results All patients had a good or excellent range of motion regarding forearm rotation, and almost 80% had good or excellent range of motion regarding flexion or extension of their wrist. One patient had a concern for pin tract infection, and one had subcutaneous migration of a pin, which were both treated by pin removal. Conclusion CRPP is a good option in patients with few and sizeable fracture fragments in patients with a distal radius fracture, and it should be considered as an effective tool to restore radiographic parameters and functional outcomes.

Prospective study on outcome in management of distal radius fracture by closed reduction and percutaneous 5 K-wire fixation

“…Male population in the world is more commonly involved in outdoor activities leading to high energy trauma such as RTA. This Ozkan S (2018) [19] et al was found 82% female patients [16] .…”

“…Age The average mean age of our study was 40.56 year which was comparable to the one by Jacob C (2014) [15] et al who had an average age of 58.44 years. Ozkan S (2018) [16] et al was found 47 years. Mahato MP (2020) [17] et al was found 40.53 year age in k wire group.…”

“…RTA was found 64% and slip and fall type of mode of injury was found 32% while Ozkan S (2018) et al was found sports injury 24% and fall from standing height was 53%. [16] Mahato MP (2020) et al was found 56.6% RTA in k wire group [17] .…”

A Comparison of DASH Scores Resulting from Different Treatment Options for the Intra-articular Distal Radius Fracture in the Geriatric Population

“…This leads to greater costs of the surgery as well. Closed reduction takes the least time, at 24 ± 7.5 minutes [35]. In a setting such as an emergency room, which could be filled with patients with dire needs, time is also a necessary consideration [36][37][38].…”

Elastic Stable Intramedullary Fixation Using Epibloc versus Crossed Kirschner Wires Fixation for Distal Forearm Fractures in Children

“…[ 1 3 4 5 ] Some authors maintain that minimally invasive K-wire percutaneous fixations are safe and effective methods. [ 1 4 6 7 8 9 ] In the authors' opinion, CRIF using epibloc system (ES)[ 10 11 12 ] represents a reproducible and safe percutaneous fixation device. [ 13 ]…”