Percutaneous pinning for non-comminuted extraarticular fractures of distal radius

Das, Abhishek; Sundaram, Nandkumar; Prasad, Thiruvengita G; Thanhavelu, Suresh K

doi:10.4103/0019-5413.83949

Cited by 31 publications

(10 citation statements)

References 25 publications

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“…Abhishek K Das et.al. in his study of percutaneous pinning and cast immobilization of the fracture found (81.25%) had excellent to good functional outcome. The study also concluded that, percutaneous pinning of distal radius fractures combined with early physiotherapy with wrist mobilisation provided good functional outcome and no loss of fracture alignment [9] . In our study 90% of the patients in k wire group showed excellent to good functional outcome 10% of patients showed satisfactory outcome.…”

Section: Discussionmentioning

confidence: 80%

A comparative study of functional outcome of intraarticular distal radius fractures treated with K wire versus conservative management

Rex¹,

Singh²,

Manikandarajan³

et al. 2022

Int. J. Orthop. Sci.

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Background: Intraarticular distal radius fractures are commonly seen fractures of upper extremity showing bimodal distribution in paediatric and elderly adults. The age distribution of distal radius fracture is typically peaks in the 5-14 year age group and also peaks in elderly patients more than 60 years of age. Aim: To compare the functional outcome of intraarticular distal radius fractures treated with k wire versus conservative management Material and methodology: Study was conducted between July 2020 to December 2021 in department of orthopaedics, RMMCH, 20 patients with intraarticular fractures of distal radius were included in the study. 10 patients were treated with k wire/ligamentotaxis with k wire, 10 patients were treated with conservative methods. Follow up was done for a minimum period of 6 months, functional outcome was assessed using Quick DASH Scoring system Results: The functional outcome in the k wire group was 12.9 which was found to be better than the conservative group 17.49. No poor outcome was seen in the k wire group. 2 patients had poor outcome in conservative group. Mal union was found in 2 patients in conservative group. No patients had malunion in k wire group. Superficial pin site infection was found in one patient. Stiffness was found in 1 patient in k wire group and 3 patients in conservative group Conclusion: In our study the functional outcome results were better in the patients managed with surgical intervention by percutaneous fixation using K wire/ligamentotaxis with k wire than patients managed with conservative method by closed reduction and cast immobilisation.

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Section: Discussionmentioning

confidence: 80%

A comparative study of functional outcome of intraarticular distal radius fractures treated with K wire versus conservative management

Rex¹,

Singh²,

Manikandarajan³

et al. 2022

Int. J. Orthop. Sci.

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show abstract

“…reduction and cast immobilization. 10 Several studies reported the results of traditional manipulation and casting in contrast with other treatment modalities. Only casting isolated was not enough to maintain reduction, and may lead to poor functional and cosmetic outcomes.…”

Section: Discussionmentioning

confidence: 99%

Old but effective during this lockdown period a modifies pin plaster technique to treat distal tibia fractures

Dhanraj

Chitithoti²,

Sunkoj³

et al. 2022

Int J Res Orthop

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<p class="abstract">There are various methods for treating fractures of the distal tibia. The purpose of this study was to introduce a modified technique of ‘pin in plaster’ in treating the distal 1/3rd tibia fractures. Fifteen patients with fractures of the distal tibia AO classification A1 and A2 were followed for one-year post-application of the cast. Patients were excluded if they had complicated fractures or grade III b fractures or crush injuries, with multiple injuries or any pathological fractures or with any nerve or vascular injuries. Range of movement and functional results were calculated periodically at the 3rd and 6th months. Three cases developed pin tract infection in the study, all of which were treated with oral antibiotics successful. The fibula was fixed with plating in selected cases There were no cases of nerve injuries and no cases of tendon injury. All the cases that were treated were successful and completely weight-bearing by the end of the 4th month. Our modified technique is simple quick and effective to restore anatomic congruity and maintain the reduction in fractures of the distal tibia.</p>

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“…Percutaneous pinning could provide more stability in addition to sufficient support, compared with closed reduction and cast immobilisation alone. 14 There are several studies reporting the outcomes of conventional manipulation and casting in comparison with other treatment options. Casting alone may not be enough to maintain anatomical position and reduction, leading to poorer functional and cosmetic results.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of a modified pin-in-plaster technique for treatment of fractures of the distal radius

Mirghasemi

Rashidinia

Sadeghi

et al. 2015

Bone & Joint Research

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ObjectivesThere are various pin-in-plaster methods for treating fractures of the distal radius. The purpose of this study is to introduce a modified technique of ‘pin in plaster’.MethodsFifty-four patients with fractures of the distal radius were followed for one year post-operatively. Patients were excluded if they had type B fractures according to AO classification, multiple injuries or pathological fractures, and were treated more than seven days after injury. Range of movement and functional results were evaluated at three and six months and one and two years post-operatively. Radiographic parameters including radial inclination, tilt, and height, were measured pre- and post-operatively.ResultsThe average radial tilt was 10.6° of volar flexion and radial height was 10.2 mm at the sixth month post-operatively. Three cases of pin tract infection were recorded, all of which were treated successfully with oral antibiotics. There were no cases of pin loosening. A total of 73 patients underwent surgery, and three cases of radial nerve irritation were recorded at the time of cast removal. All radial nerve palsies resolved at the six-month follow-up. There were no cases of median nerve compression or carpal tunnel syndrome, and no cases of tendon injury.ConclusionOur modified technique is effective to restore anatomic congruity and maintain reduction in fractures of the distal radius.Cite this article: Bone Joint Res 2015;4:176–180

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Percutaneous pinning for non-comminuted extraarticular fractures of distal radius

Cited by 31 publications

References 25 publications

A comparative study of functional outcome of intraarticular distal radius fractures treated with K wire versus conservative management

A comparative study of functional outcome of intraarticular distal radius fractures treated with K wire versus conservative management

Old but effective during this lockdown period a modifies pin plaster technique to treat distal tibia fractures

A prospective study of a modified pin-in-plaster technique for treatment of fractures of the distal radius

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