Intralocal pinning for fixation of unstable fractures of the distal radius

ABSTRACT

The objective of this study was the clinical and radiological analysis of a series of thirty-four patients with 36 unstable fractures of the distal radius treated by intrafocal buttressing-pinning during the period between 1996-1997 along with a follow-up period of at least 32 weeks. Methods The technique uses dorso-ulnar, dorso-radial and lateral intrafocal K wires to support and stabilize fragments. Clinical and radiological results were evaluated according to Gartland and Werley modified by Sarmiento and Lidstroem. Results Good to excellent clinical and radiological results were achieved in 86% and 90% of cases respectively. Conclusion Intrafocal percutaneous pinning is an encouraging procedure for managing selected cases of comminuted lower radial fractures. It combines the advantages of a closed line of treatment with the advantage of stability achieved by surgical fixation