Novel 5-Pin technique for distal radius fractures.

Autor: Rajanish, R., Thangarasu, Manikandan, Arunlal, K. P., Malayil, Jim Thomas, Shankar, Hari
Předmět:
Zdroj: Kerala Journal of Orthopaedics; Jul-Dec2022, Vol. 1 Issue 1, p13-17, 5p
Abstrakt: BACKGROUND: Distal radius fractures are one of the most common skeletal injuries encountered in the orthopedic department. The treatment options include plaster of paris (POP) casting, volar/dorsal plating, external fixation, and K-wiring. This study was conducted to assess the functional and radiological outcome of a novel percutaneous 5-pin technique in distal radius fractures. MATERIALS AND METHODS: This is a retro-prospective observational study from January 2018 to June 2020. A novel percutaneous 5-pin technique in a sequential configuration following a closed reduction was performed, followed by physiotherapy, and functional outcome was assessed at 3 and 6 months following K-wire removal using Cooney's modification of Green and O'Brien's scoring and evaluated for functional status, pin loosening, tendon impalement, and nerve injury. The radiological outcome was assessed at 6 months using the Sarmiento scoring system (modified Lindstrom criteria). RESULTS: All 31 patients were assessed. The mean age of patients was 58.45 years, and 61.3% were females, with domestic low-energy falls being the most common mode of injury. All patients were followed up for 6 months post-K-wire removal and 51.6% of patients had excellent outcomes, 25.8% had good outcomes, and 22.6% of patients had fair outcomes with a functional range of supination and pronation movements. All fracture unions were satisfactory, 3 (9.7%) patients developed complex regional pain syndrome, and one patient developed pin loosening. None of them developed tendon impalement or nerve injuries. CONCLUSION: The novel percutaneous 5-pin technique includes two additional ulnoradial wires which provide superior rotational stability and avoid the chance of late collapse and maintain radial height, unlike conventional K-wire techniques. Thus, avoiding the need for more invasive techniques and allowing early mobilization of wrist and fingers preventing stiffness, resulting in an excellent outcome. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje