Treatment of distal radius fractures with percutaneous pinning and pin-in-plaster.
This article describes a modified technique that combines percutaneous pinning and casting. A prospective study was conducted on 54 patients with distal radius fracture who were treated with percutaneous Kirschner wire (K-wire) fixation and pin-in-plaster technique. The surgical indications of this technique included displaced extra-articular fracture, intra-articular fracture without significant comminution, and articular step-off less than 2 mm. The average radial height was 10.96 mm, and the volar tilt was 3.97 degrees on immediate postoperative radiographs. Upon removal of pin-in-plaster and percutaneous K-wires, the average radial height was 9.92 mm, and the volar tilt was 3.93 degrees . Bony union was achieved in all patients; the satisfaction rate was 90.7%. Pin-in-plaster technique is effective for maintaining reduction during bone healing. The procedure provides the ability to achieve anatomic reduction and then maintains this reduction through an adequate method of immobilization.
Chen
Chin-En
CE
Department of Orthopedic Surgery, Golden Hospital, 12-2, Minsheng E. Rd., Pingtung City, 900, Taiwan. chinenmd@ms21.hinet.net
Juhn
Rei-Jahn
RJ
Ko
Jih-Yang
JY
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