Percutaneous 3 Kirschner Wire Fixation Including the Distal Radioulnar Joint for Treatment of Pilon Fractures of the Distal Radius—Technical Note

Lewis, Tim; Yen, David

doi:10.1097/ta.0b013e3181bbd5fd

Cited by 3 publications

(10 citation statements)

References 12 publications

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“…Placement of a K-wire across the DRUJ has theoretical potential to affect the pronation-supination range leading to stiffness. 10 Our results alleviated these concerns. The pronationsupination range reached > 90% of the contralateral healthy side.…”

Section: Discussionsupporting

confidence: 53%

“…The wire transfixing the ulna into the distal radial fragment may act like an internal fixator between the ulna and the radius as proposed by Lewis and Yen. 10 However, it may be wise to add a biomechanical study to assess the effect of adding transulnar K-wire to the rigidity of the construct. Kim and Tae retrospectively reviewed 18 DRFs, which were treated by CRPP using distal radioulnar pinning and assessed its effectiveness especially for preventing fracture settling.…”

Section: Discussionmentioning

confidence: 99%

“…Lewis and Yen10 described a technique of percutaneous pinning comprising radial styloid, dorsal radial, and radioulnar pinning. They proposed that using the ulna as a strut by passing a third K-wire across the DRUJ would increase the stability of the DRF.…”

Section: Discussionmentioning

confidence: 99%

“…In all, 64 patients with unstable DRF, who were treated by Lewis and Yen technique, 10 between January 2011 and April 2012 in our Orthopedic Department, were retrospectively reviewed. Inclusion criteria were skeletally mature patients with closed unstable DRFs according to the criteria described by Cooney et al 11 with no concomitant distal ulnar fractures or severe osteoporosis.…”

Section: Methodsmentioning

confidence: 99%

“…Lewis and Yen10 described a technique of percutaneous pinning to increase the stability of distal radius fractures (DRFs) Frykman type VIII in 4 cases only, comprising radial styloid, dorsal radial, and radioulnar pinning. They utilized the ulna as a strut by passing a third K-wire across the DRUJ.…”

mentioning

confidence: 99%

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Combined Conventional and Transulnar Percutaneous Pinning of the Displaced Distal Radius Fracture

Atyyia

Diab

2021

Techniques in Orthopaedics

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Background: This study aimed to study if combined conventional and transulnar percutaneous pinning of the displaced distal radius fracture could maintain the reduction of this unstable fracture.Materials and Methods: In all, 64 patients with unstable distal radius fractures were treated by this technique. The mean follow-up period was 18 months (range: 16 to 34 mo). Clinical and radiologic analyses were provided.Results: Radiographic union was achieved at an average of 6.4 weeks (range: 5 to 9 wk). Radiologically: according to Sarmiento et al's modification of Lindstrom criteria, restoration of anatomy was excellent in 40 patients (62.5%), good in 16 patients (25%), and fair in 8 patients (12.5%). At 6-month follow-up, the average radial height was 7.9 mm (range: 5 to 11 mm), volar tilt was 7.8 degrees (range: 4 to 16 degrees), and radial inclination was 20 degrees (range: 17 to 28 degrees). Functionally, according to the Sarmiento et al's modification of the demerit point system of Gartland and Werley, the outcome was excellent in 36 patients, good in 22 patients, and fair in 6 patients. The most common complication was pin tract infection (4 patients), followed by loss of reduction in 2 patients and complex regional pain syndrome in 2 patients.Conclusions: This procedure is technically facile, minimizes costs, and provides near-anatomic healing based on radiographic criteria. Our case series demonstrated excellent and good clinical outcomes following this technique.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Combined Conventional and Transulnar Percutaneous Pinning of the Displaced Distal Radius Fracture

Atyyia

Diab

2021

Techniques in Orthopaedics

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Update of radio-ulnar fracture in modern medicine and Unani medicine: A review

Nawaz¹,

Siddiqui²,

Hassan³

et al. 2019

Int. J. Unani. Integ. Med.

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In Unani literature bone (Azm) fracture is known as "Kasar. Basically Kasar (Fracture) is an example of Tafarruq-e-Itteshal. Radio-ulnar fracture is a type of fracture where fracture occurs between radius and ulna. Distal radius fractures are one of the most common types of fractures, accounting for around 25% of fractures in the paediatric population and up to 18% of all fractures in the elderly age group. Ancient Unani Literature is augmented in Kasar where as Unani physician described broadly the pathology, manifestation & treatment. Bone-healing activity of Shilajeet, Harjor, Kushta Sadaf, Khamirah Marvareed in human is effective.

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Current management approaches to distal radius fractures

Kürklü¹

2012

TOTBİD Dergisi

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Percutaneous 3 Kirschner Wire Fixation Including the Distal Radioulnar Joint for Treatment of Pilon Fractures of the Distal Radius—Technical Note

Cited by 3 publications

References 12 publications

Combined Conventional and Transulnar Percutaneous Pinning of the Displaced Distal Radius Fracture

Combined Conventional and Transulnar Percutaneous Pinning of the Displaced Distal Radius Fracture

Update of radio-ulnar fracture in modern medicine and Unani medicine: A review

Current management approaches to distal radius fractures

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