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Research Article| Volume 22, ISSUE 2, P252-257, March 1997

Percutaneous pinning of distal radius fractures: A biomechanical study

  • Author Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Sanjiv H. Naidu
    Correspondence
    Reprint requests: Sanjiv H. Naidu, MD, Hershey Medical Center, P.O. Box 850, Hershey, PA 17033.
    Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Affiliations
    Hershey, PA, USA
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  • Author Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    John T. Capo
    Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Affiliations
    Hershey, PA, USA
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  • Author Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Mark Moulton
    Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Affiliations
    Hershey, PA, USA
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  • Author Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    William Ciccone II
    Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Affiliations
    Hershey, PA, USA
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  • Author Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Alex Radin
    Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
    Affiliations
    Hershey, PA, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Department of Orthopaedic Surgery and Rehabilitation, Pennsylvania State University, Hershey, PA; and the Department of Materials Science Engineering, University of Pennsylvania, Philadelphia, PA.
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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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