Treatment of the distal radius fractures with percutaneous pinning: evolution to the HK2 system

Treatment of the distal radius fractures with percutaneous pinning: evolution to the HK2 system Displaced fractures of the distal radius often require reduction and fixation to improve outcome in active patients. The volar locking plate gained ground over pinning, which was the first surgical solution described. But pinning methods have since evolved with fewer complications. The authors present a clinical study of distal radius fracture fixation using the HK2 tech - nique, where subchondral pins are connected to intra-focal pins. The results are satisfactory with a lower complication rate compared to other pinning methods. This technical improvement relaunches the pinning technique, with its two advantages, being faster and significantly cheaper than locking plates, with similar long-term functional results. Keywords Fracture · Distal radius · Pinning · Wire · Kapandji · HK2 Introduction Historical surgical methods Fractures of the distal radius are the second most frequent of Pinning is still the subject of numerous publications, show- the human skeleton and occur at any age [1]. They directly ing that it is still a very much used technique. Extra-focal affect the function of the wrist, and therefore of the hand. pinning was initially described by Lambotte in 1908 [4]. Consolidation disorders, usually malunion, can lead to a The basic principle consists of bridging the fracture with significant disability [ 2]. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Orthopaedic Surgery & Traumatology Springer Journals

Treatment of the distal radius fractures with percutaneous pinning: evolution to the HK2 system

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag France SAS, part of Springer Nature
Subject
Medicine & Public Health; Surgical Orthopedics; Traumatic Surgery
ISSN
1633-8065
eISSN
1432-1068
D.O.I.
10.1007/s00590-018-2221-z
Publisher site
See Article on Publisher Site

Abstract

Displaced fractures of the distal radius often require reduction and fixation to improve outcome in active patients. The volar locking plate gained ground over pinning, which was the first surgical solution described. But pinning methods have since evolved with fewer complications. The authors present a clinical study of distal radius fracture fixation using the HK2 tech - nique, where subchondral pins are connected to intra-focal pins. The results are satisfactory with a lower complication rate compared to other pinning methods. This technical improvement relaunches the pinning technique, with its two advantages, being faster and significantly cheaper than locking plates, with similar long-term functional results. Keywords Fracture · Distal radius · Pinning · Wire · Kapandji · HK2 Introduction Historical surgical methods Fractures of the distal radius are the second most frequent of Pinning is still the subject of numerous publications, show- the human skeleton and occur at any age [1]. They directly ing that it is still a very much used technique. Extra-focal affect the function of the wrist, and therefore of the hand. pinning was initially described by Lambotte in 1908 [4]. Consolidation disorders, usually malunion, can lead to a The basic principle consists of bridging the fracture with significant disability [ 2].

Journal

European Journal of Orthopaedic Surgery & TraumatologySpringer Journals

Published: Jun 5, 2018

References

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