Introduction: Distal end radius fractures crush the mechanical foundation of most useful tool, the hand. No other fracture has a such potential to
devastate hand function, and no other metaphysis of bone is embraced by more soft tissues. Closed reduction and percutaneous pinning is one of the
standard treatments for management of distal radius fractures, and its modication 'The percutaneous 5 pin technique improves the reliability of
xation thus combining the benets of non-invasiveness as in casting and stability achieved is comparable to open reduction and plating.
Material and method: This prospective study was done between December 2018 to December 2020 in department of orthopedics, including 60
patients with fracture of distal radius Among them 30 patients subsequently underwent ve pin xation and 30 patients were treated with closed
reduction and casting method.
Result: Radiological analysis of the data was done using Sarmiento's Modication of Lidstrom Criteria. Activities of daily life (ADL) were
examined by using the demerit point system of Gartland and Wereley based on objective and subjective criteria, residual deformity and
complications.
Radiological parameters were assessed for at the end of 6months. There was signicant difference in all the three parameters i.e, Volar tilt, Radial
length, Radial inclination between both groups at the end of 6 months. Closed reduction with ve pinning technique group had shown not only
better but also statistically signicant anatomical reduction compared to other groups. Functional outcome was better in patients treated with
percutaneous 5 pinning technique.
Conclusion: The ve pin technique carries the advantage of early mobilization, DRUJ stability. Radio Ulnar pins and the pins across the fracture
site provide enough stability to permit early mobilization leading to less post operative stiffness in joint. Although the study series is small and
further research is essential to provide directions for treatment, it is safe to conclude that the ve pin technique is a technically less demanding, lessinvasive and an effective way of treating displaced distal radius fractures without severe articular or metaphyseal comminution
Anesthesia for Closed Reduction of Distal Radius Fractures in the Emergency Department
