Stabilization of Comminuted Fractures of the Distal Inch of the Radius: Percutaneous Pinning

Stein, Arthur H.; Katz, Stanley F.

doi:10.1097/00003086-197505000-00028

Cited by 71 publications

(19 citation statements)

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“…[9] Many pinning variations have been described in the literature. [10,11,12,13] However, cross-pin fixation is advocated the most effective method for excellent stability of all major fragments. [14] There is scarce evidence as to the most appropriate number and placement of K-wires and supporting techniques.…”

Section: Discussionmentioning

confidence: 99%

“…[15] Most authors estimate loss of radial length as the most important radiologic parameter influencing the functional outcome, and it seems that any technique maintaining the radial length may attain better functional results. [3,13,16,17] However, loss of radial length in terms of effects on functional outcome has been reported in various forms in the literature. [18,19,20,21] In the current study, it was supposed that significant cortical and cancellous comminution in the distal radius on the dorsal and on the radial side may lead to late collapse due to resorption of the crushed bone.…”

Section: Discussionmentioning

confidence: 99%

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Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Günay

Öken

Yavuz

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Günay

Öken

Yavuz

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…33 In 1975, Stein and Katz reported their experience with distal radius fixation by crossed K-wires. 42 A wire is introduced through the radius styloid, and the other wire is inserted through the radius ulnar and dorsal cortex and volarly directed, radially crossing the fracture line. Stein and Katz also incorporated long arm casting, ranging from 40 to 60 days.…”

Section: N Discussionmentioning

confidence: 99%

Treatment of Unstable Extra-Articular Distal Radius Fractures by Modified Intrafocal Kapandji Method

Ruschel

Albertoni²

2005

Techniques in Hand and Upper Extremity Surgery

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The authors prospectively assess the results of surgically treated, unstable extra-articular distal radius fractures from 29 patients with good bone quality. Mean age was 49 years, ranging from 22 to 69 years; the female gender was the most frequently affected (58.6% of the cases). Surgical fixation was indicated for fractures presenting an angulation above 20 degrees , marked dorsal comminution, and radius shortening in excess of 10 mm on initial x-rays (anteroposterior and lateral views). The Kapandji technique, with intrafocal, nonthreaded Kirschner wires, was employed. Clinical data assessed anatomic aspects according to Scheck, functional aspect after Gartland and Werley, strength by Scheck's methods, and esthetic by Frykman's criteria. Functional assessment, according to Gartland and Werley, revealed 72.1% of excellent and good results at 3 months; 89.7% at 6 months; and 96.6% at 12 months. Immediate postoperative reduction was not maintained at the final follow-up at 12 months; however, that loss was not severe, and the anatomic outcome was good and excellent in 96.6% of the cases. Six patients presented complications. Four patients presented reflex sympathetic dystrophy; 1 patient had a superficial Kirschner wire infection, and another patient had radial nerve superficial branch paresthesia. The employed technique showed to be effective in the treatment of unstable, extra-articular fractures of the distal radius. It is easy to learn and to perform. The device employed has a low cost and is widely available in operation rooms.

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“…15 In this report, we describe the treatment of displaced intra-articular fracture of the distal radius (Frykman type VIII/AO type C3) (Figs. 1 and 2) with a percutaneous pinning method that combines the techniques described by Depalma, 9 Stein and Katz, 10 Uhl, 11 and Rayhack et al 15 (Figs. 3 and 4).…”

mentioning

confidence: 99%

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

Lewis

Yen²

2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Stabilization of Comminuted Fractures of the Distal Inch of the Radius: Percutaneous Pinning

Cited by 71 publications

References 0 publications

Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Treatment of Unstable Extra-Articular Distal Radius Fractures by Modified Intrafocal Kapandji Method

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

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