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Mechanical testing of extra-articular distal radius fractures stabilized with percutaneous
pins was performed. Twelve fresh-frozen unembalmed radii stripped of all soft tissues
were used. An osteotomy with dorsal comminution was made 2.5 cm proximal to the radial
styloid. Three pin sizes and four pin configurations were used to fix the fracture,
and the constructs were mechanically tested. Results show that at least a .062-inch
pin was required for any significant changes in rigidity of the four pin configurations
tested to be discerned. Crosspinning with two radial styloid pins and placement of
a pin from the ulnar corner of the radius as the most rigid construct in both torsion
and cantilever bending.
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References
- Severe fractures of the distal radius: effect of amount and duration of external fixator distraction on outcome.J Hand Surg. 1993; 18A: 33-41
- The history and evolution of percutaneous pinning of displaced distal radius fractures.Orthop Clin North Am. 1993; 24: 287-300
- Transulnar percutaneous pinning of displaced distal radius fractures: a preliminary report.J Orthop Trauma. 1989; 3: 107
- A biomechanical analysis of percutaneous pinning for unstable extra-articular fractures of the distal radius.J Bone Joint Surg. 1994; 76B: 23
- Communited fractures of the distal end of the radius treated by ulnar pinning.J Bone Joint Surg. 1952; 34A: 651-662
- Percutaneous Kirschner wire stabilization following closed reduction of Colles' fractures.J Hand Surg. 1992; 17B: 55-62
- Stabilization of comminuted fractures of the distal inch of the radius: percutanous pinning.Clin Orthop. 1975; 108: 174-181
- Percutaneous Kirschner-wire fixation of Colles fractures: a prospective study of thirty cases.J Bone Joint Surg. 1984; 66A: 1008-1014
Article info
Publication history
Accepted:
October 1,
1996
Received:
October 26,
1995
Footnotes
*Partially supported by the NSF-MRL Program under grant #DMR 91-20668.
**No benefits in any form have been received or will be received from a commerical party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1997 The American Society for Surgery of the Hand. All rights reserved. Published by Elsevier Inc.