use of different per-cutaneous pinning techniques in management of unstable distal radius fractures

Forty -five patients with unstable distal radius fractures [DRFs] were treated by different techniques of per-cutaneous pinning between 1997-2000. The mean age was 46.8 years. At follow-up, all patients were assessed subjectively, objectively and radiographically. Over all results at a mean follow-up of 26.3 months [range 8-34 months] were excellent and good in 71.12%. The radiological results of the treatment group were comparable to the radiological anatomy of the normal contralateral wrist with regards to volar tilt [average. 10.6 degrees]; ulnar tilt [average 18.5 degrees]; radial shift [average 16.9 mm] and radial height [average 11.6 mm]. The final radiologic scoring were excellent and good in 82.22%. A total complication rate of 29% was recorded. Restoration of the radial length, reduction of the volar tilt and restoration of articular congruity did prove critical for a final favorable outcome