Treatment of unstable distal radial fractures by intrafocal, intramedullary K-wires

Functional, Clinical and Radiological Outcome of Extra Articular Distal End Radius Fracture in Elderly Patients, Closed Reduction and Cross K-wiring Versus Conservative Management (Closed Reduction and Casting)

“…Our result of the improved radiological outcome in closed reduction and K-wire group is supported by a large number of previous studies. 8,19,20 Functional and clinical evaluation In our study, we assessed the functional and clinical outcome by the Gartland and Wereley 20 De-merit scoring system at six weeks, three and six months. There was a significant difference in functional and clinical outcome between these two groups at every point of time in study.…”

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

“…[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.…”

Distal Radius Fractures: Nonoperative and Percutaneous Pinning Treatment Options

“…In a younger population, Ruschel and Albertoni [78] observed a mild loss of reduction with 95% excellent and good functional results at the 1-year mark with a modified Kapandji technique. Using intrafocal intramedullary K-wires, Walton and colleagues [79] demonstrated 95% excellent or good outcomes using radiographic and functional outcome scoring systems. With their encouraging results in a patient group with an average age of 60, they concluded that the intramedullary buttress may have reduced the reliance of K-wire purchase on osteoporotic bone for fracture stability.…”

“…Ruschel and Albertoni's [78] modification of Kapandji's technique added a lateral intrafocal pin for restoration of radial inclination and shift. Walton and colleagues [79] describe a different modification of Kapandji's original technique using intrafocal, intramedullary K-wires.…”