“Five Pin Technique” in management of distal radius fractures | ||
| Benha Journal of Applied Sciences | ||
| Article 19, Volume 7, Issue 2, February 2022, Pages 137-142 PDF (627.5 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2022.244780 | ||
| Authors | ||
| Hegazy M.O; Kande W.A.; El-Attar H.A.; El Gazzar M.A. | ||
| Orthopedic surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||
| Abstract | ||
| One of the most frequent injuries seen in orthopaedics is a fracture of the distal radius. They account for between 8% and 15% of all adult bone injuries. These include closed reduction and POP application, external fixation, internal fixation and percutaneous pin insertion. When comparing non-operative and operational treatment options, percutaneous pin fixation is the least traumatic option available. For distal radius fractures, the research sought to see how well the Five Pin Technique performed when used as a surgical treatment option. The research was done on 40 patients with distal radius fractures admitted to Benha University Hospital's Orthopedic Department. In order to determine the effectiveness of the Five Pin Technique as a surgical therapy for distal radius fractures, Results: We have 15 women and 25 males in our research. Age ranged from 23 to 76 at the time of the operation, with a mean of 48.32 years. 22 (55%) of our patients had their dominant hand affected, whereas 18 (45%) of our patients did not participate in our research. About Frykman categorization, 5 (12.5 percent) patients were Type 1, 11 (19.75%) were Type 2, 3 (7.5%) were Type 3, 3 (7.5%) were Type 4, and 5 (12.5%) were Type 5. Six (15%) of them were Type 7, and five (12.5%) were Type 8. 22 (55%), 13 (32.5%), and 5 (12.5%) of the research participants had surgery within one to two weeks of each other, respectively, over the course of the study. The study's subjects' radiological results suggest In 19 (47.5 percent) of the patients, the loss of radial tilt was excellent, good, fair, or bad in 13 (32.5 percent). It was outstanding in 24 (60 percent) patients, good in 9 (22.5 percent), fair in 4 (10 percent), and bad in 3 (7.5 percent) patients. radial shortened There were 23 (57.5 percent) patients with excellent loss of radial deviation; 9 (22.5 percent) patients with good loss; 6 (15 percent) patients with fair loss; 2 (5 percent) patients with bad loss. 19 (47.5 percent) patients were outstanding, 13 (32.5 percent) patients were good, 5 (12.5 percent) patients were fair, and 3 (7.5 percent) patients were bad in the research participants' functional outcomes by the short DASH score. One-fifth (18%) of the patients had no problems, while 10% had deformity, while 10% had extensor tendon tethering, while 22.5% had superficial pin tract infection, and 12.5% had deformity and superficial pin tract infection as a result of their surgery. It is safe and successful to use the "five pin approach" to treat displaced intra and extra-articular fractures without damaging the joint or the metaphysis. For distal radius fractures, closed reduction with the 5-pin configuration of K-wire fixation is a cost-effective and safe approach that provides great outcomes in terms of pain, mobility and stability. | ||
| Keywords | ||
| Five Pin Technique; distal radius fractures | ||
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