Outcomes of Percutaneous Pinning in Treatment of Distal Radious Fractures

Sadighi, Ali; Bazavar, Mohammadreza; Moradi, Amin; Eftekharsadat, Bina

doi:10.3923/pjbs.2010.706.710

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…It was not until we applied the Steinmann pin retractor that this problem was resolved. Several literature reviews [ 20 , 21 ] involving the M-PCP have had reflective clinical and radiological results similar to our M-PCP group. However, the S-PCP group had more advantages in our study.…”

Section: Discussionsupporting

confidence: 77%

A novel retractor-assisted closed reduction combined with percutaneous pinning fixation for the treatment of elderly distal radius fractures: a retrospective cohort study

Zhao

Assan

et al. 2021

J Orthop Surg Res

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Background Percutaneous pinning fixation (PCP) has been used for the treatment of distal radius fractures for decades, especially in the elderly with fragile soft tissue. However, achieving and maintaining a sound anatomic reduction before PCP is difficult if we use the manipulative reduction method alone. Our study innovatively applied the Steinmann pin retractor for closed reduction combined with PCP, to provide a new protocol for the treatment of distal radius fractures. Methods From March 2017 to July 2018, 49 patients out of 57 that met the inclusion criteria but not the exclusion criteria were included in our retrospective cohort study. Sixteen patients were treated with Steinmann pin retractor-assisted closed reduction combined with PCP (S-PCP), and 19 patients were treated with the manipulative reduction combined with PCP (M-PCP), and 14 patients were treated with the manipulative reduction combined with cast splint (M-C). All these patients received a positive postoperative radiological and clinical evaluation. Results All the patients were followed up for a minimum of 2 years. The radiological parameters in each group improved significantly postoperative (posttreatment). In the S-PCP group, the values of radial height (postoperative, 13.33±1.74 mm; the first follow-up, 13.27±1.81mm; last follow-up, 13.16±1.76mm) and ulnar variance (postoperative, −0.10±1.29mm; the first follow-up, −0.05±1.27mm; last follow-up, −0.12±1.09mm) significantly improved as compared to the M-PCP and M-C groups. While the patients in the M-C group experienced significant re-displacement at the first and last follow-ups, in the S-PCP group, the range of wrist motion including extension (89.94±5.21%), radial deviation (90.69±6.01%), and supination (90.25±5.87%); ulnar deviation (89.81±5.82%) and QuickDASH score (2.70±3.64); and grip strength (92.50±5.59%), pronation (90.50±6.04%), and modified Mayo wrist score (90.94±4.17, the excellent rate reached up to 75%) also improved as compared to the M-PCP group, M-C group, or both groups at the last follow-up. Conclusion S-PCP improves fracture reduction and wrist function and can serve as an effective method for A2(AO/OTA) and A3 type of distal radius fractures in the elderly with limited dorsal comminution, including intra-articular fractures with displacement less than 2mm.

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Section: Discussionsupporting

confidence: 77%

A novel retractor-assisted closed reduction combined with percutaneous pinning fixation for the treatment of elderly distal radius fractures: a retrospective cohort study

Zhao

Assan

et al. 2021

J Orthop Surg Res

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“…Patients with fair results, Few of their movements were less than that required for normal, but not affecting the normal function. Our series is comparable to those of F. 11 In our series, surgical management of intra articular fractures of distal end radius by open reduction and internal fixation and closed reduction and k-wire fixation was done in 30 patients. Distal radial fractures are more common in the 2 nd and 3 rd decades.…”

Section: Discussionsupporting

confidence: 65%

Functional Outcome of Surgical Management O F Intra - Articular Fractures of Distal End of the Radius by Internal Fixation

Shivakumar¹,

S²,

Yatish³

et al. 2014

jemds

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BACKGROUND: Seventy five patients who sustained simple intra articular fractures of distal end of the radius treated by open reduction and internal fixation and closed reduction and kwire fixation during 2years. To assess the functional outcome of the wrist joint in intra-articular fractures of distal end of radius AIMS: To assess the functional outcome of the wrist joint in intraarticular fractures of distal end of radius by opting surgical intervention. METHODS AND MATERIALS: A total of 75 cases of intraarticular fractures of distal end of the radius were operated on by open reduction and internal fixation, closed reduction and k -wire fixation, at KIMS hospital.Records of 75 cases were available for study. The mean age of the 54 males and 21 females was 35.4 years (range, 20-72 years) Special care was taken during surgery to achieve articular congruity. The injury was caused by fall in 32patients, RTA in 37 patients and fall from height in 6 patients. All cases were Gartland and Werely type III. All cases were operated on within 7days from the day of injury. RESULTS: All patients were assessed clinically and radiographically after a follow-up duration of 6 months. The radiological union was acceptable. Result were evaluated according to modified Green O'Brein Score were excellent in 55 cases (73.3%), good in 13 (17.4%), and fair in 7(9.3%). CONCLUSION: Open reduction and internal fixation of intraarticular fractures of distal end of the radius can restore articular congruity and result in good to excellent results. CONCLUSION:Open reduction and internal fixation of intraarticular fractures of distal end of the radius can restore articular congruity and result in good to excellent results REFERENCES:1. Rettig Micheal E., "Fractures of the distal radius". In: Lichtman.,

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“…Burying the K-wires under the skin should greatly reduce the possibility of pin tract infection occurring due to external exposure of the pins and there by poor results associated with pin tract infection, early pin removal and loss of fixation. Pain, pin site infection and loosening of pins were documented by Sadighi A (2010) et al in 14.6, 16.7 and 2.1% of the patients, respectively [23] .…”

Section: Functional Outcomementioning

confidence: 92%

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

Joshi¹,

Desai²,

Dhukia³

et al. 2021

Int. J. Orthop. Sci.

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In this study we are evaluating the outcome in management of distal radius fracture by closed reduction and percutaneous 5 k-wire fixation in both young and elderly patients in most types of distal radius fracture types where closed reduction is possible and where ulna is intact or reconstruct able. Material and Methods: A total of 50 patients with distal end radius fractures associated with or without other fracture were treated in in the department of Orthopaedics at all hospitals attached to SMS Medical College & Hospital, Jaipur. The patients were treated with closed reduction and 5 k-wire (1.8mm) fixation under anaesthesia. Clinical scoring system of green and o'brein modified by Cooney and Sarmiento's modification of Lindstorm criteria was recorded. Results: The most commonly encountered complications were superficial pin tract infection (25.5%) and extensor tendon tethering (6.4%) which were less serious complications and resolved completely on removal of k -wires. Cooney modification of Green and O' Brien's score was showed higher excellent case (84%) than good (10%) and fair (6%) Conclusion: According to our study perfect closed reduction and five k-wire fixation technique is a versatile tool which provides functional outcomes better than conventional k-wire fixation and volar plating in distal end radius fractures.

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Outcomes of Percutaneous Pinning in Treatment of Distal Radious Fractures

Cited by 5 publications

References 10 publications

A novel retractor-assisted closed reduction combined with percutaneous pinning fixation for the treatment of elderly distal radius fractures: a retrospective cohort study

A novel retractor-assisted closed reduction combined with percutaneous pinning fixation for the treatment of elderly distal radius fractures: a retrospective cohort study

Functional Outcome of Surgical Management O F Intra - Articular Fractures of Distal End of the Radius by Internal Fixation

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

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