Percutaneous pinning of distal radius fractures: A biomechanical study

Naidu, Sanjiv H.; Capo, John T.; Moulton, Mark J.R.; Ciccone, William J.; Radin, Alex

doi:10.1016/s0363-5023(97)80159-1

Cited by 92 publications

(68 citation statements)

References 7 publications

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“…[10,11,12,13] However, cross-pin fixation is advocated the most effective method for excellent stability of all major fragments. [14] There is scarce evidence as to the most appropriate number and placement of K-wires and supporting techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, the authors described the differences in rigidity according to pin size, and advocated that at least 1.6 mm diameter K-wires were needed for stable cross-pin fixation. [14] In both groups, similar cross-pin fixation (with 1.8-2.0 mm K-wire) was applied. Biomechanical study could not be carried out for this case series because our study patients had both intra-articular and extra-articular fractures of the distal radius.…”

Section: Günay Et Al Two Different Treatment Technique In Distal Radmentioning

confidence: 99%

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Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Günay

Öken

Yavuz

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Günay Et Al Two Different Treatment Technique In Distal Radmentioning

confidence: 99%

Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Günay

Öken

Yavuz

et al. 2015

Ulus Travma Acil Cerrahi Derg

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show abstract

“…Use of threaded pins provides a good support than smooth pins in osteoporotic bones and prevents pin loosening. Percutaneous pinning is a minimally invasive procedure that offers good stability and early range of motion and least chances of stiffness when compared to open surgical plating 20 .…”

Section: Discussionmentioning

confidence: 99%

Our Experience Indistal Radius Fractures with Percutaneous Pinning And Plaster In Postmenopausal Women As A Day Care Procedure

Raman¹,

Balamurugan²,

Karthick³

2016

IOSR

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“…Several biomechanical studies had been done to compare different wire configurations in fixation of proximal humeral fractures. They found that a parallel configuration is better than a convergent configuration in both rotational and bending stresses and that a divergent configuration is better than a parallel configuration in rotational stresses [8,14,19]. The palm tree technique allows for insertion of the wires in a divergent manner that insures stable fixation.…”

Section: Discussionmentioning

confidence: 99%

Results of the percutaneous pinning of proximal humerus fractures with a modified palm tree technique

El-Alfy¹

2011

International Orthopaedics (SICOT)

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Purpose Many techniques are available for closed reduction and percutaneous fixation of proximal humeral fractures. The palm tree technique was described by Kapandji in 1989. In that technique three curved wires are inserted through one hole at the V-shaped insertion of the deltoid muscle. It is a good technique but it has some disadvantages. In this study we introduced some modifications for the technique, and we evaluated the clinical results of the modified technique in treatment of 18 cases. Methods Eighteen patients with displaced proximal humeral fractures were treated by closed reduction and percutaneous fixation with the palm tree technique after minor modifications. The age of the patients ranged from 38 to 75 years with an average of 56 years. Eleven were females and seven were males. The fractures were twopart in 13 cases and three-part fractures in five cases. Results The average time of healing was seven weeks. The follow-up period ranged from 14 months to 39 months with an average of 22 months. The Constant score ranged from 45 to 88 with a mean of 73. The results were satisfactory in 77% and unsatisfactory in 23% of the cases. The complications included pin tract infection in two cases, intraarticular wire migration in one case, skin necrosis around the wires in three cases and malunion with varus deformity in one case. No cases were complicated by neurovascular injury, loss of fixation or avascular necrosis of the humeral head. Conclusions The palm tree technique is a good method for fixation of proximal humeral fractures. It produces good grip in both of the proximal and distal fragments and allows for early joint movements. Our modifications allow for easy insertion of the wires, increase the stability of fixation and minimize the risk of complications.

show abstract

Percutaneous pinning of distal radius fractures: A biomechanical study

Cited by 92 publications

References 7 publications

Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

Our Experience Indistal Radius Fractures with Percutaneous Pinning And Plaster In Postmenopausal Women As A Day Care Procedure

Results of the percutaneous pinning of proximal humerus fractures with a modified palm tree technique

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