scholarly journals A Novel Method of Closed Reduction and Percutaneous Pinning With Six K-wires for Intra-articular Fractures of the Distal Radius

2020 ◽  
Vol 4 (6) ◽  
pp. e19.00114
Author(s):  
Anilkumar Vidyadharan
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Percutaneous Pinning ◽  
Articular Fractures ◽  
Novel Method ◽  
K Wires

scholarly journals Comminuted intra articular fracture of distal radius: Outcome of Management with closed reduction and percutaneous pinning.

2019 ◽  
Vol 26 (10) ◽  
pp. 1697-1701
Author(s):  
Karam Ali Shah ◽  
Saeed Ali Shah ◽  
Zahoor Illahi Soomro ◽  
Allah Nawaz Abbasi ◽  
Muhammed Azeem Akhund
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Base Line ◽  
X Rays ◽  
Type Ii ◽  
Percutaneous Pinning ◽  
Articular Fractures ◽  
Anatomic Reduction ◽  
K Wires ◽  
Radius Matching

Objectives: To determine the outcome and various complications in the management of comminuted intra articular fractures of distal radius in adults treated with closed reduction associated with Percutaneous Pinning. Study Design: Observational study. Setting: Department of Orthopaedic PUMHS, Nawabshah. Period: January 2017 to December 2018. Material and Methods: 45 consecutive cases of closed comminuted intra articular fractures of distal radius matching the inclusion criteria, all patients were adult aged between 23 – 38 years having Gartland and Werly type II and III fractures of 6 to 7 days duration. After initial resuscitation, thorough clinical examination done and all base line laboratory investigations and x-rays were obtained. The demographic and clinical data was recorded on a proforma. The patients were informed about the study and surgery and a written consent was taken and all of the patients were gone for closed reduction with percutaneous K – wiring. Functional outcome like union, healing and any complication were assessed. Patients were also checked for the range of movements. After 6 weeks, the K – wires and cast were removed and the procedure of physiotherapy started. After six weeks all the patients were advised for follow up at an interval of 3 months and 6 months. The data collected was statistically analysed and the results were tabulated. Results: 45 cases of closed intra articular fractures of distal radius were assessed, out of these 20 cases have Gartland type II and 25 cases have Gartland type III fractures. The age of patient was ranged between 23 – 38 years (mean 34+ 4.63), majority (55.6%) of patients were male. The left side of fractures were present in 66.3% of cases. All the patients checked for complications and that were seen in only 07 cases consisting of pin tract infection, reduced grip strength and finger stiffness. At the end of study period the range of movements in different directed were checked and evaluation was done according to modified Demerit scoring system. Conclusion: Closed reduction of distal radius with percutaneous pinning in comminuted intra articular fractures gives promising excellent results, it is a simple and minimal procedure providing anatomic reduction, fixation of fracture and maintenance of reduction with an suitable technique of immobilization.

scholarly journals Percutaneous pinning for non-comminuted extra-articular fractures of distal radius

2011 ◽  
Vol 45 (5) ◽  
pp. 422 ◽  
Author(s):  
ThiruvengitaG Prasad ◽  
AbhishekK Das ◽  
Nandkumar Sundaram ◽  
SureshK Thanhavelu
Keyword(s):  
Distal Radius ◽  
Percutaneous Pinning ◽  
Articular Fractures

Arthroscopically-Assisted Reduction of Intra-Articular Fractures of the Distal Radius

1998 ◽  
Vol 23 (3) ◽  
pp. 391-395 ◽  
Author(s):  
L. ADOLFSSON ◽  
P. JÖRGSHOLM
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Joint Surface ◽  
Percutaneous Fixation ◽  
Articular Fractures ◽  
Intraarticular Fractures ◽  
Arthroscopically Assisted ◽  
Arthroscopically Assisted Reduction

Twenty-seven patients with intraarticular fractures of the distal radius with a step of more than 1 mm in the joint surface after attempted closed reduction, were treated by reduction under arthroscopic control and percutaneous fixation. All fractures healed without measurable incongruity of the joint surface and at follow-up 3 to 38 months after surgery 19 patients had excellent and eight patients good results according to the Mayo modified wrist score.

scholarly journals A novel retractor-assisted closed reduction combined with percutaneous pinning fixation for the treatment of elderly distal radius fractures: a retrospective cohort study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Bin Zhao ◽  
Wenqian Zhao ◽  
Isaac Assan ◽  
Zhenji Li ◽  
Rongxiu Bi
Keyword(s):  
Cohort Study ◽  
Distal Radius ◽  
Closed Reduction ◽  
Retrospective Cohort ◽  
The Elderly ◽  
Distal Radius Fractures ◽  
Percutaneous Pinning ◽  
Radius Fractures ◽  
Steinmann Pin

Abstract Background Percutaneous pinning fixation (PCP) has been used for the treatment of distal radius fractures for decades, especially in the elderly with fragile soft tissue. However, achieving and maintaining a sound anatomic reduction before PCP is difficult if we use the manipulative reduction method alone. Our study innovatively applied the Steinmann pin retractor for closed reduction combined with PCP, to provide a new protocol for the treatment of distal radius fractures. Methods From March 2017 to July 2018, 49 patients out of 57 that met the inclusion criteria but not the exclusion criteria were included in our retrospective cohort study. Sixteen patients were treated with Steinmann pin retractor-assisted closed reduction combined with PCP (S-PCP), and 19 patients were treated with the manipulative reduction combined with PCP (M-PCP), and 14 patients were treated with the manipulative reduction combined with cast splint (M-C). All these patients received a positive postoperative radiological and clinical evaluation. Results All the patients were followed up for a minimum of 2 years. The radiological parameters in each group improved significantly postoperative (posttreatment). In the S-PCP group, the values of radial height (postoperative, 13.33±1.74 mm; the first follow-up, 13.27±1.81mm; last follow-up, 13.16±1.76mm) and ulnar variance (postoperative, −0.10±1.29mm; the first follow-up, −0.05±1.27mm; last follow-up, −0.12±1.09mm) significantly improved as compared to the M-PCP and M-C groups. While the patients in the M-C group experienced significant re-displacement at the first and last follow-ups, in the S-PCP group, the range of wrist motion including extension (89.94±5.21%), radial deviation (90.69±6.01%), and supination (90.25±5.87%); ulnar deviation (89.81±5.82%) and QuickDASH score (2.70±3.64); and grip strength (92.50±5.59%), pronation (90.50±6.04%), and modified Mayo wrist score (90.94±4.17, the excellent rate reached up to 75%) also improved as compared to the M-PCP group, M-C group, or both groups at the last follow-up. Conclusion S-PCP improves fracture reduction and wrist function and can serve as an effective method for A2(AO/OTA) and A3 type of distal radius fractures in the elderly with limited dorsal comminution, including intra-articular fractures with displacement less than 2mm.

scholarly journals Assessment of outcome of distal radius inta-articular fractures using wrist-spanning mini-fixator in distraction

2019 ◽  
Vol 5 (4) ◽  
pp. 594
Author(s):  
Saurin J. Patel ◽  
KirtiDhavaj I. Merawat ◽  
Harpreet Singh ◽  
Parth B. Bhavsar
Keyword(s):  
Range Of Motion ◽  
Distal Radius ◽  
Upper Limb ◽  
Social Life ◽  
Treatment Options ◽  
Personal Life ◽  
Articular Fractures ◽  
Mayo Wrist Score ◽  
K Wires

<p class="abstract"><strong>Background:</strong> The distal radius fractures are complex injuries. There are many treatment options for these fractures. The benefits of external fixation with mini fixator have been seen in many studies. In our study, the distal radius fracture belonging to type B and C of AO classification were treated with wrist spaning mini extrernal fixator with/without additional k wires. We wish to analyse the functional outcome and to determine any complications of this procedure.</p><p class="abstract"><strong>Methods:</strong> 20 patients were included in this study and were followed up for up to 6 months postoperatively. We assessed pain using VAS score at 6 weeks follow-up and the outcome of each patient was assessed using Mayo wrist score post-operatively on follow-up at 3 months and 6 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Predominance towards males and left upper limb was observed in our study. At the end of six months, the range of motion as assessed according to the criteria given by Mayo wrist score, excellent results (MWS&gt;=90) were seen in 4 patients (20%), good results (MWS 80-89) were seen in 12 patients (60%),and fair (MWS 70-79) in 4 patient (20%). At the end of result, significant reduction in terms of pain, wellbeing, personal life, social life, lifting, travelling and sleeping was seen.</p><p class="abstract"><strong>Conclusions:</strong> Predominance towards males and left upper limb was observed in our study. At the end of six months, the range of motion as assessed according to the criteria given by Mayo Wrist Score, excellent results (MWS&gt;=90) were seen in 4 patients (20%), good results (MWS 80-89) were seen in 12 patients (60%),and fair (MWS 70-79) in 4 patient (20%). At the end of result, significant reduction in terms of pain, wellbeing, personal life, social life, lifting, travelling and sleeping was seen. </p>

scholarly journals Outcome of Supracondylar Fractures of the Humerus in Children Treated by Closed Reduction and Percutaneous Pinning

2008 ◽  
Vol 47 (170) ◽  
Author(s):  
Pramod Devkota ◽  
JA Khan ◽  
BM Acharya ◽  
NMS Pradhan ◽  
LP Mainali ◽  
...  
Keyword(s):  
Tract Infection ◽  
Closed Reduction ◽  
Percutaneous Pinning ◽  
Supracondylar Fractures ◽  
Treatment Results ◽  
Wire Fixation ◽  
Ulnar Nerve Injury ◽  
K Wires ◽  
Pin Tract Infection

Supracondylar fractures of humerus in children are common injuries. Displaced fractures areinherently unstable. Conservative treatment results in malunion. Open reduction and internalfixation (ORIF) is more invasive and recovery is prolonged. From September 2004 to September 2005, 102displacedsupracondylarfractures of humerus, agedbetween one andhalf yearto 13 years, weretreated using close reduction and percutaneous Kirschner (K) wire fixation under c-arm fluoroscopy. Seventy nine patients were treated by cross K-wires and in twenty three cases lateral two K-wireswereput.Above elbow plaster ofparis back slab was appliedinall cases for atleastfour weeks.Backslab,K-wireswere removedafterfourweeks andelbowrangeofmotionexercisewas started.Resultswere analyzed using Flynn’s criteria. All patients were followed up to 14th week postoperatively. Incross K-wire group(N=79) 70.8% had excellent, 22.7% good, 3.8% fair and 2.5% had poor results at eight weeks follow up which was improved to 91.1% excellent, 6.3 good, 1.2% fair and 1.26% poor results at 14 weeks follow up. In lateral K-wire group (N=23) 70% had excellent, 21.7% good, 4.3% fair and 4.3% had poor result at eighth week which was improved to 91.3% excellent, 4.3% good, 4.3% fair and no poor result at 14th week follow up. Eight patients got superficial pin tract infection and seven patients sustained ulnar nerve injury post operatively.We recommend this procedure fordisplacedsupracondylarfractures inchildrenas itis safeandcost effectiveprocedurewithacceptablecomplication rates.Key words: closed reduction, humerus, percutaneous pinning, supracondylar fracture

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