Introduction: Distal radius fractures are the most common fractures of the upper extremity. The commonest mode of injury is a fall on outstretched hand. Closed reduction and percutaneous pinning with 'The five pin technique' improves the reliability of fixation. Current study aimed to assess the clinical and functional outcome of fixation of distal radius fractures using the five pin technique Material and Methods: 30 patients with fracture of distal radiuswere subjected to history taking, thorough clinical examination with analysis of pre operativeandpost operative radiographs. Results:Functional outcome-Quick DASH scoring. Score of less than 10 in 14 patients, 11-15 score in 7 patients, 16-20 score in 6 patients, and more than 20 score in 3 patients. Conclusion: "The five pin technique" is a versatile tool which provides functional outcomes better than conventional K wire fixation and comparable to volar plating as seen in our study.

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<p class="abstract"><strong>Background:</strong> The aim of the study was to evaluate the clinical outcomes of complex subtrochanteric fractures treated by using cephalomedulary nail.</p><p class="abstract"><strong>Methods:</strong> This is a prospective observational study of 30 cases of complex subtrochanteric femoral fractures admitted to our hospital from January 2018 to June 2019. Cases were taken according to the inclusion and exclusion criteria i.e. type IV, type V Seinsheimer’s classification, above 18 years and those who are willing to participate in the study has been included and pathological fractures, open fractures were excluded. All the patients are followed up on 2 post-operative day, after 4 weeks, 8 weeks, 12 weeks and 6months. X-ray hip with thigh anteroposterior (AP) and lateral view taken during each follow up. Out comes was assessed using modified Harris hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study of 30 cases there are 22 males and 8 females and the mean age of 43.7 years. 73.3% patients are due to Road traffic accidents predominance of right side. In our study 66% had type 4 Seinsheimers and 34% cases had type 5 Seinsheimers fracture. The mean duration of hospital stay was 17 days. Mean time for full weight bearing is 12 weeks. Good to excellent results are seen in 80% of type 4 subtrochanteric fractures and 75% of cases of type 5 subtrochanteric fractures. 4 cases had surgical site infection, 3 cases had varus, 1 case had developed implant failure, and 1 case had reverse Z effect.</p><p class="abstract"><strong>Conclusions:</strong> From this study, we conclude that proximal femoral nail is an excellent implant in the treatment of complex subtrochanteric femoral fractures the terms of successful outcome include a good understanding of fracture biomechanics, good preoperative planning and accurate instrumentation.</p>