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Introduction 2

Distal radius fractures (DRFs) are common skeletal injuries, accounting for about 17% of all fractures, with bimodal distribution peaking in younger (18-45 years) and older (>65 years) individuals. The primary cause of DRFs is falls onto an outstretched hand, and associated injuries may include TFCC and interosseous carpal ligament injuries. Treatment options vary, with percutaneous pin fixation being favored for its low surgical morbidity and benefits such as stability, cost-effectiveness, and early mobilization.

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15 views2 pages

Introduction 2

Distal radius fractures (DRFs) are common skeletal injuries, accounting for about 17% of all fractures, with bimodal distribution peaking in younger (18-45 years) and older (>65 years) individuals. The primary cause of DRFs is falls onto an outstretched hand, and associated injuries may include TFCC and interosseous carpal ligament injuries. Treatment options vary, with percutaneous pin fixation being favored for its low surgical morbidity and benefits such as stability, cost-effectiveness, and early mobilization.

Uploaded by

sai15805125
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

INTRODUCTION

One of the most frequent skeletal injuries seen in orthopaedic departments is

a distal radius fracture. About 17% of all fractures are distal radius fractures, which

are the most frequent upper extremity fractures observed in clinical practice 1,2. The

distribution of DRFs is bimodal, peaking in younger individuals (18–45 years old) and

then in older individuals (>65 years old). With weaker bones as the mechanism, low-

energy injuries are more common in the elderly while high-energy injuries are more

common in the younger group

Although it is not unusual in individuals with high-energy trauma, falls onto the

outstretched hand are the most frequent cause of injury. However, the hand's

position, the bone's composition, the surface it strikes, and the injury's velocity all

contributed to the pattern of damage.

The injuries associated with distal radius fractures are (1) triangular

fibrocartilage complex (TFCC) injury3 may be associated with an ulna styloid fracture

(2) interosseous carpal ligaments injury (such as Scapholunate and Lunotriquetral)4,5.

There are various treatment options, including percutaneous pin fixation,

external fixation, internal fixation, closure reduction, and POP administration 6. Any

therapeutic strategy should include the restoration of normal articular anatomy. This

involves adjusting for irregularities in the distal radial angle, joint surface continuity,

and radial length.

The most popular treatment method has been closed reduction and casting;

nevertheless, poor radiological and functional results are caused by the following

malunion and distal radio-ulnar joint displacement. Consequently, the wrist joint and

1
distal radioulnar joint movements are impacted by the remaining malalignment.

Reduced range of motion and diminished grip strength are frequent issues brought

on by radiocarpal arthritis and distal radio-ulnar joint pain.

Percutaneous pin fixation will have the lowest surgical morbidity rate of any

treatment modality, offering the benefits of both non-operative and operative care.

Early in the 20th century, the idea of percutaneously pinning fractures of the distal

end of the radius was proposed, and numerous pin designs have since been

documented.

“5 pin technique” is the modification of closed reduction percutaneous pinning.

Additional rotational stability7, inexpensive implant prices, ease of use, early

mobilization, a low learning curve, quick access to implants, and the ability to be

done as a daycare procedure under regional anaesthetic are all benefits of this

approach.

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