unctional Outcome Analysis of Fixation of Distal Radius Fractures using 'Five Pin Technique'

Bhasme, Virendra K; Shettar, Vishwanath G; Battur, Mrityunjaya N

doi:10.21276/ijcmr.2018.5.9.26

Cited by 5 publications

(11 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Majority of our patient was in their 4th decade of life, similar to the studies by Bhasme et al 15 and Yamamoto et al, 16 suggesting (Sarmiento 1975) 13 30 45 50 50…”

Section: Discussionsupporting

confidence: 89%

A Novel 5-pin Fixation for Distal Radius Fractures and Its Functional Assessment

Vipin¹,

Rengarajan²,

Muthulingam³

et al. 2021

Journal of Orthopedics and Joint Surgery

View full text Add to dashboard Cite

Background: Distal radius fractures are an extensively debated topic throughout decades. The treatment options include POP casting, plating, external fixation with or without ligamentotaxis, and K-wiring. This study was conducted to assess the functional outcome of a novel percutaneous 5-pin technique in distal radius fractures. Materials and methods: This is a prospective observational study over 16 months from January 2019 to May 2020. Novel percutaneous 5-pin technique in a sequential configuration following a closed reduction was performed, followed by physiotherapy, and functional outcome was assessed at 6, 12, and 28 weeks following K-wire removal using Cooney's modification of Green and Obrien scoring and evaluated for functional status, pin loosening, tendon impalement, and nerve injury. Results: All 20 patients were assessed. The mean age of patients was 47.15 years, 10 being females, with road traffic accidents being the major mode of injury. All patients were followed up for 6 months post-K-wire removal and 90% of patients had good to the excellent outcome and 10% of patients had fair to bad outcome with a functional range of supination and pronation movements. All fracture unions were satisfactory and four patients (20%) developed minor complications. 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 allows early mobilization of wrist and fingers preventing stiffness, resulting in an excellent outcome.

show abstract

“…Majority of our patient was in their 4th decade of life, similar to the studies by Bhasme et al 15 and Yamamoto et al, 16 suggesting (Sarmiento 1975) 13 30 45 50 50…”

Section: Discussionsupporting

confidence: 89%

A Novel 5-pin Fixation for Distal Radius Fractures and Its Functional Assessment

Vipin¹,

Rengarajan²,

Muthulingam³

et al. 2021

Journal of Orthopedics and Joint Surgery

View full text Add to dashboard Cite

show abstract

“…In our study the incidence of distal radius fractures was higher in males (62.5%) in both groups which is similar to studies of Bhasme et al (14) , Hegazy et al (17) and Solanki et al (18) This could be because men are more likely to engage in physically demanding activities such as hiking, biking, and driving. While Vasudevan and Lohith (15) , reported in their study higher incidence in female (57.1%) and this difference may be due to different lifestyles of studied population.…”

Section: Resultssupporting

confidence: 91%

“…The mean age in Group A was 39.8 and in Group B 40.1 years, which is comparable with studies of Bhasme et al (14) ; mean age 45 years, Vasudevan and Leith (15) ; mean age 49.4 years, Vipin et al (16) mean age 47.1 years, Hegazy et al (17) ; mean age 48.3 years and differ from Solanki, Mahendra et al (18) patients ranged in age from 50 to 80, with 56 years being the median age.…”

Section: Resultssupporting

confidence: 90%

“…Like in the study of Bhasme et al (14) , most of cases operated in first 2 weeks as of those patients, 16 had surgery in less than a week, 9 in 1-2 weeks, and 5 in 3-4 weeks. Also, Hegazy et al (17) , 22 (55%) patients were less than 1 week, 13 (32.5%) patients were within 1 to 2 weeks, and only 5 (12.5%) patients were within 1 to 3 weeks.…”

Section: Resultsmentioning

confidence: 75%

“…, Hegazy et al (17) and Bhasme et al (14) were using Quick DASH scoring for clinical assessment of Kirschner wire fixation.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Assessment of Five Pin Technique versus Conventional Kirschner Wire Fixation for Management of Distal Radial Fractures

Abdallah

Salama²,

El-Adawy³

et al. 2022

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: The ideal treatment for distal radius fracture should be a simple one with low complication and with the best functional outcome. Conventional Kirschner Wire Fixation is used for their management, and recently five pin technique has been introduced. Objective: The aim of the currents study is to compare the radiological outcome, the functional outcome, post-operative complication, and time of union of five pin technique with conventional k wire fixation in treatment of distal radius fractures. Patietns and methods: A total of 48 patients who had fractured their distal radius were included in this randomized controlled clinical trial. Patients were divided into 2 groups with 24 patients in each group: Patients in Group A underwent five-pin techniques surgeries, and patients in Group B were operated via conventional k wire technique. At their follow up radiological evaluation was done using Sarmiento score (modified Lidstrom criteria), and Cooney adaptation of the Green and O'Brien score for clinical assessment. Results: Loss of palmar tilt, radial shortening and loss of radial deviation were significant lower in 5 pin group, also the overall score was significantly better in 5 pin group. Pain and range of movement were significantly higher in 5 pin group, and total result score also was significantly higher in 5 pin group. The excellent overall score was associated with 5 pin score. Conclusion: Closed reduction and 5-pin configuration of K-wire fixation for distal radius fractures are excellent management options for distal radius fractures in terms of functional outcome, pain, range of movements, and stability than conventional k wire fixation after carefully selected distal radius fractures.

show abstract

Closed Reduction & Pinning of unstable Extraarticular fracture Distal Radius (How many K-wires needed?) Systematic Review

2023

Al-Azhar University Journal of Virus Researches and Studies

View full text Add to dashboard Cite

Distal radius fractures represent 16% of all fractures of the body and as much as 72% of all forearm fractures. It's also known as wrist fracture, a breaking of the part of the radius bone which is close to the wrist. The aim of this study was to review recent trends and different modalities in management of extra articular distal end radius fractures and to conclude the optimal number of K-wires required for best fixation and best results clinically & radiologically. Online search using the Medline database on PubMed, Google scholar, Science direct, American and European Journals from 2010 to 2020; all the English language published studies were identified with the search keywords of, Extra articular distal end radius fracture, treatment of distal end radius, Closed Pinning, Number of K-wires. Among included 12 studies, 4 studies used 2 K-wires, 4 studies used 3 K-wires, 1 study used 4 K-wires and 3 studies used 5 K-wires. There was a better satisfaction rate, significant increase in grip strength and significant increase in DASH Volar tilt with 3 K-wires group more than 5 K-wires group. At the end we found that using 3 K-wires is perfect to maintain the reduction for the extraarticular distal end radius fractures radiologically in a cost-effective manner and high patient's satisfaction rate with least complications.

show abstract

unctional Outcome Analysis of Fixation of Distal Radius Fractures using 'Five Pin Technique'

Cited by 5 publications

References 6 publications

A Novel 5-pin Fixation for Distal Radius Fractures and Its Functional Assessment

A Novel 5-pin Fixation for Distal Radius Fractures and Its Functional Assessment

Assessment of Five Pin Technique versus Conventional Kirschner Wire Fixation for Management of Distal Radial Fractures

Closed Reduction & Pinning of unstable Extraarticular fracture Distal Radius (How many K-wires needed?) Systematic Review

Contact Info

Product

Resources

About