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Percutaneous pinning vs external fixation

Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial The PRWE scores were significantly lower for patients treated with ORIF compared to those with external fixation, with the best outcomes observed with volar locking plates A 1997 Norwegian study comparing percutaneous pinning to external fixation concluded that there was no significant difference in outcomes or complications. 1 Although this study was laudable for its prospective randomized design it focused on the radiologic and clinical outcomes of a mixed-age population (mean age, 60 years; range, 31-89. Specifically, percutaneous pinning in addition to external fixation yields better outcomes than fixation alone. Several studies comparing external fixation and volar plating have shown no significant differences in pain, grip strength, or range of motion

Open reduction internal fixation versus percutaneous

Augmented external fixation versus percutaneous pinning

Coding Tip: Surgical Approaches-Open vs. Percutaneous vs. External. Open approach is cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure. If procedures are performed using the open approach with percutaneous endoscopic assistance or hand-assisted laparoscopy they are coded as open How do I bill a closed treatment with manipulation, percutaneous pinning and application of uniplanar small hand external fixator, 5th metacarpal. I feel like I should be billing CPT 26607 - Closed tx of metacarpal fracture, with manipulation, with external fixation, each bone, along with 26608 - percutaneous skeletal fixation of metacarpal. External fixation is a surgical treatment wherein rods are screwed into bone and exit the body to be attached to a stabilizing structure on the outside of the body. It is an alternative to internal fixation, where the components used to provide stability are positioned entirely within the patient's body.It is used to stabilize bone and soft tissues at a distance from the operative or injury focus

6. Grewal R, MacDermid JC, King GJ, et al. Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial. J Hand Surg Am 2011; 36:1899-1906 Patients randomized to pinning and external fixation were treated with closed reduction, percutaneous fixation, using 1.6-mm (0.062-inch) smooth K-wires, and a bridging external fixator (small AO external fixator; Synthes Inc., West Chester, PA) (Fig. 1A). The K-wires and external fixator were removed 6 weeks after surgery Surgeons aged 40 years and younger were more likely to perform ORIF and less likely to choose external fixation and percutaneous pinning to treat DRFs, compared with older surgeons. Surgeon specialization mitigated this relationship, and American Society for Surgery of the Hand members were more likely to choose ORIF compared with nonmembers

As surgical treatment of distal radius fractures, percutaneous pinning by K-wires, external fixation, or internal fixation by a volar locking plate (VLP) are widely performed. Conservative treatment is more cost-effective, and there is no risk of complication associated with surgery but can be complicated by malunion or wrist contracture 20692 Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (e.g., Ilizarov, Monticelli type) 20693 Adjustment or revision of external fixation system requiring anesthesia (e.g., new pin[s] or wire[s] and/or new ring[s] or bar[s]) 20694 Removal, under anesthesia, of external fixation syste Introduction We retrospectively compared the outcomes of open reduction and internal fixation (ORIF) with volar locking plate versus standard external fixation and percutaneous pinning in treating. Percutaneous pinning is considered to be less invasive, faster, and requires less skill compared to open surgery (plate fixation)

Using the technique of augmented external fixation, the fixator (see Figures 9 and 10) is generally applied in conjunction with percutaneous pins and bone graft to directly support the broken fracture fragments and reduce the need for traction to be applied by the fixator device. This allows the wrist to be placed in a comfortable position and. Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial. J Hand Surg Am. 2011, 36: 1899 - 906. Google Scholar | Medline | IS Harley et al 12 performed a prospective randomized trial comparing augmented external fixation versus percutaneous pinning and casting for unstable distal radius fractures. Forty-one patients were followed up for 6 months. They noted no difference in clinical outcome between the two groups, though they did note percutaneous pins and casting.

This meta-analysis compared outcomes between percutaneous pinning/wiring and open reduction internal fixation (ORIF) with locking plates for treatment of unstable distal radius fractures. Medline, Cochrane, EMBASE, and Google Scholar were searched through December 30, 2015 Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial. J Hand Surg Am. 2011; 36(12):1899-906 (ISSN: 1531-6564 Modified De Palma percutaneous pinning patients used an above-elbow cast whereas external fixation group had unrestricted elbow motion after surgery

INTRODUCTION: We retrospectively compared the outcomes of open reduction and internal fixation (ORIF) with volar locking plate versus standard external fixation and percutaneous pinning in treating similar unstable distal radius fractures with a minimum 2-year follow-up Second, do I bill and ORIF (26615)or a percutaneous pinning(26608) for fracture or do I bill percutaneous pinning dislocation ( 26676) or ORIF dislocation (26785)? Thanks, I. iowagirl77 Guru. Messages 145 Location Cedar Rapids, IA Best answers 0. Jul 2, 2019 # Seventy RCTs (n = 4789 patients) were included. Treatments compared were the volar locking plate, bridging external fixation, nonbridging external fixation, dynamic external fixation, percutaneous pinning, intramedullary fixation, dorsal plating, fragment-specific plating, and nonoperative treatment 10. Harley BJ, Scharfenberger A, Beaupre LA, Jomha N, Weber DW: Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius: A prospective randomized trial. J Hand Surg Am 2004;29:815-824 A change in the practice of a single surgeon provided an opportunity for retrospective comparison of comparable cohorts treated with percutaneous fixation (17 patients) or a volar plate and screws.

External Fixation and Percutaneous Pinning for Distal

Injury External Fixation and Percutaneous Pinning

(1997). External fixation versus percutaneous pinning for unstable Colles' fracture: Equal outcome in a randomized study of 60 patients. Acta Orthopaedica Scandinavica: Vol. 68, No. 3, pp. 255-258 Compared to external fixation surgery, percutaneous pinning required less time and fewer fluoroscopies (P < 0.05). The fracture healing time was significantly shorter in the external fixator group compared to the Kirschner wire group (P < 0.05), and the elbow ROM and Flynn scores were significantly higher in the former (P < 0.05; Tables 2 and 3. The MIROS is a new percutaneous pinning device allowing correction of angular displacement and stable fixation of fracture fragments. We evaluated the results of percutaneous fixation of three- or four-part fractures of the proximal humerus of patients in the American Society of Anesthesiologists physical status three or four treated either. A surgical treatment is external fixation, where metal pins inserted into bone on either side of the fracture are then fixed to an external frame. Objectives To evaluate the evidence from randomised controlled trials comparing different methods of external fixation for distal radial fractures in adults

Percutaneous Pinning - an overview ScienceDirect Topic

The fixation is not external--its internal, so that eliminates the 20690 w/27532 Even though he does not state an actual incision, by piercing the skin and entering the joint this can now be considered an open procedure. Since he only mentions the lateral tibial plateau, this is unicondylar, I would recommend 27535, (probably with a 52. A hip pinning is a type of surgery to fix a broken (fractured) hip. Another name for hip pinning is fracture repair and internal fixation. Hip pinning uses pins, screws, or plates to help hold broken bones together so they can heal correctly. Your thighbone (femur) meets with your pelvis at your hip joint. This joint is called a ball-and-socket. What CPT code would you use for a closed reduction percutaneous pinning of an intra-articular proximal phalanx fracture? A 0.035 k-wire was placed on the ulnar condyle and driven across the base to stabilize the intra-articular component. An additional .035 k-wire was then placed at the base.. Patient had a closed reduction with manipulation and percutaneous K-wire fixation of left ring finger proximal phalanx intraarticular head fracture. Provider is saying to use CPT 26548 which I totally disagree with but am going back and forth with how to code this one. 26742 with 26776 26742..

In fractures with preserved joint congruity, 3 fixation options exist: percutaneous pinning (Kapandji technique), non-spanning external fixation, and locked-plates. Locked-plates represent a significant advance in the fixation of fractures, especially in osteopenic bone, although their role in distal radius fractures has yet to be defined. Percutaneous pinning is a way to support unstable fractures (breaks). Percutaneous means through the skin.. When the patient is asleep, a surgeon will reduce (set) the fracture. The doctor will insert pins to hold the fracture in position until the bone is healed. The number of pins depends on the fracture location and severity traarticular fracture. In the treatment of IDRF, percutaneous pinning, external fixator (EF), plates and their combinations could be used after closed or open reduction.[2-6] Generally, CRPP with EF and open reduction internal fixation with vo-Cite this article as: Saruhan S, Davulcu CD A comparative study of Dunlop's traction versus percutaneous pinning. Percutaneous fixation of supracondylar fractures of the humerus in children. Difficult supracondylar elbow fractures in children: analysis of percutaneous pinning technique. K-wire fixation of supracondylar humeral fractures in children: results of open reduction via a.

We retrospectively compared the outcomes of open reduction and internal fixation (ORIF) with volar locking plate versus standard external fixation and percutaneous pinning in treating similar unstable distal radius fractures with a minimum 2-year follow-up. The ORIF group included 41 patients with an average follow-up of 29 months. The external fixation group comprised 14 patients with an. Percutaneous K-wire fixation provides additional stability and is one of the earliest forms of internal fixation. 8 - 10 Depalma described ulno-radial pinning drilled at 45° angle, 4 cm proximal to ulnar styloid External fixation of the foot followed with staged open reduction and screw fixation across the medial two tarsometatarsal joints. 2% (65/3050) 3. Open reduction and screw fixation across the medial three tarsometatarsal joints and percutaneous pinning of the 4th and 5th tarsometatarsal joints . 23 Purpose: A biomechanic study using a cadaver model of a dorsally unstable distal radius fracture was used to compare the stability of percutaneous pinning and volar fixed-angle plating. Among the many surgical options for treating distal radius fractures are percutaneous pinning and internal plate fixation. Although percutaneous pin fixation requires less soft-tissue trauma and has low. Multiple fixation techniques have been described for displaced and angulated metacarpal neck and axially stable shaft fractures including percutaneous antegrade (bouquet pinning) [], retrograde (longitudinal intramedullary fixation) [], trans-metacarpal Kirschner wire reduction, and plate fixation [].Every technique has its pros and cons and there is no consensus regarding the optimal.

Treatment of reducible unstable fractures of the distal radius in adults: a randomised controlled trial of De Palma percutaneous pinning versus bridging external fixation Casting versus percutaneous pinning for extra-articular fractures of the distal radius in an elderly Chinese population: a prospective randomised controlled trial Functional Outcomes for Unstable Distal Radial Fractures Treated with Open Reduction and Internal Fixation or Closed Reduction and Percutaneous Fixation Percutaneous techniques have a long tradition in PHF treatment; the introduction of dedicated external fixation system has the advantage to improve the stability and allow early rehabilitation when compared to the classical pinning technique. In our experience, the indication elderly patients with o IntroductionWe retrospectively compared the outcomes of open reduction and internal fixation (ORIF) with volar locking plate versus standard external fixation and percutaneous pinning in treating similar unstable distal radius fractures with a minimum 2-year follow-up.MethodsThe ORIF group included 41 patients with an average follow-up of 29 months The operative method was open reduction and internal fixation with a volar plate in 6 studies, 34,39,41,42,51,53 external fixation in 1 study, 32 percutaneous pinning in 1 study, 33 intramedullary nail fixation in 1 study, 50 k-wire fixation in 1 study, 43 and unclear or a combination of methods in 5 studies. 37,40,44,45,52 The conservative.

When adequate reduction cannot be achieved by closed reduction alone, closed reduction and percutaneous pinning versus open reduction and internal fixation are considered. Here we present the case of a middle-aged female presenting with a dorsally displaced and angulated fracture of the distal radius after a fall on the outstretched hand Both conservative (such as casting) and operative treatments (such as open reduction internal fixation, external fixation, intramedullary fixation, or percutaneous pinning) had been advocated as successful treatments for distal radius fractures. Casting is noninvasive but malunion or fracture collapse can ensue Conversely, external fixators may augment percutaneous pins and plate fixation when extensive comminution is present. Supplemental external fixation should be considered for fractures with comminution of over 50% of the diameter of the radius on a lateral view or when significant volar cortical comminution is present Percutaneous fixation offers many advantages (low risk of avascular necrosis, fibrosis and stiffness, improved cosmesis, low costs). However, it has been criticized because of the risk of pin migration, the loss of reduction and pin-site infection, a quite long learning curve, and a revision rate around 10 % Treatment of complex fractures of the distal radius: A prospective randomised comparison of external fixation 'versus' locked volar plating By Philippe Massin Prospective continuous study comparing intrafocal cross-pinning HK2® with a locking plate in distal radius fracture fixation

Percutaneous Fixation: When and How Musculoskeletal Ke

  1. Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results. Saruhan S , Davulcu CD Ulus Travma Acil Cerrahi Derg , 27(2):238-242, 01 Mar 202
  2. The external fixator could maintain radial length more efficiently than the percutaneous pinning and casting group, but volar tilt was not generally restored . Pin tract infection is another problem that should be concerned. The pin-in-plaster technique is a combination of percutaneous pinning, casting, and external fixation
  3. Harley B J, Scharfenberger A, Beaupre L A, Jomha N, Weber D W. Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius—a prospective randomized trial. J Hand Surg Am. 2004; 29 (5):815-824. [Google Scholar
  4. Grewal R, MacDermid JC, King GJ, Faber KJ. Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial.  J Hand Surg Am. 2011;36(12):1899-1906. PubMed Google Scholar Crossre
  5. Percutaneous pinning fixation (PCP) has been used for the treatment of distal radius fractures for decades, especially in the elderly with fragile soft tissue. However, achieving and maintaining a sound anatomic reduction before PCP is difficult if we use the manipulative reduction method alone. Our study innovatively applied the Steinmann pin retractor for closed reduction combined with PCP.

Coding Tip: Surgical Approaches--Open vs

Intramedullary screw fixation, tension banding, and percutaneous pinning have all been described (27, 28). Treatment recommendations for acute zone two injuries, or Jones fractures, are controversial. Short leg casting with nonweightbearing for six to eight weeks followed by an additional six to eight weeks of transitioning to full weightbearing activities have shown good results (29) Two-part and three-part fractures: Open reduction and internal fixation versus closed reduction and percutaneous pinning. Orthop Clin North Am . 2006;31:1-21. ADD TOPIC TO EMAIL ALERT Percutaneous reduction is performed with the help of a pointed hook retractor, an elevator and if necessary a 4 mm Steinmann pin. In this fracture the head of the humerus may be displaced in internal rotation with anterior and sometimes medial angulation due to the pull of the pectoralis major muscle

Percutaneous Pinning-Methods • most common radial styloid pinning + dorsal-ulnar corner of radius pinning • supplemental immobilization with cast, splint in conjunction with external fixation (Augmented external fixation) 36. Percutaneous Pins 37. Percutaneous Pinning 2 radial styloid pins Crossed Pins 38 Use of thermoplastic braces allows comfortable use of the hand with acceptable results. Operative fixation can be achieved by closed reduction (CR) versus open reduction (OR) with percutaneous pinning (PP), external fixation (EF) or internal fixation (IF) for metacarpal shaft fractures

Treatment of Broken Bones – Fracture Care Options

reduce, pin, externally fixate finger? Medical Billing

  1. ICD Counterpart Codes. Closed Treatment without Manipulation. Closed Treatment with Manipulation. Closed Reduction with External Fixation. Percutaneous Pin Fixation. Open Reduction with or without Fixation. Metacarpal. Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) Closed treatment of metacarpal.
  2. Treatment options include closed reduction and pinning, bridging and non-bridging external fixation and open reduction with dynamic compression plate (DCP), precontoured locking and non locking plates and screw fixation through a variety of approaches20
  3. Prior meta-analyses comparing internal fixation to external fixation and percutaneous pinning concluded that there were no differences in pain outcomes among the treatment types. 25,26 But 1 study 26 suggested that there was an association with higher incidence of CRPS after percutaneous pinning than internal fixation. It is unclear why.
  4. analyze the efficacy of pin size on fracture stabilization in the sagittal plane. They defined their pin size group based on the ratio pin diameter to cortical thickness
  5. Radius/Ulna Fractures - Open or Percutaneous Treatment. Excision distal ulna, partial or comlete eg, Darrach type or matched resection) (25240) Open treatment of radial shaft fracture, with or without internal or external fixation (25515) Open treatment of radial shaft fracture, with internal and/or external fixation and closed treatment of.
  6. Dynamic external fixation for PIP fracture-dislocations with or without ORIF or percutaneous pinning of the fracture (Fig. 2). Once the fixator is assembled, final anteroposterior and A comparative study of percutaneous Kirschner wire fixation versus open reduction and internal fixation. J Hand Surg Br 30:120-128, 2005.

• External Fixation • Internal Fixation . External Fixation • Primarily temporizing but can be definitive treatment • Benefits • Closed reduction percutaneous pinning • Intramedullary nails • Plate and screw constructs . Closed Reduction Percutaneous Pinning IS EXTERNAL FIXATION USEFUL FOR DISTAL RADIUS FRACTURES? Milan Patel, M.D. Resurgens Orthopaedics DISTAL RADIUS FIXATION Closed reduction and percutaneous pinning External fixation (Bridging and non-bridging) Internal fixation Volar plates Dorsal plates Fragment specific fixation Spanning plates SURGICAL INDICATIONS Radial inclination < 12-15 Two major complications associated with percutaneous pinning are iatrogenic ulnar nerve palsy and loss of reduction, resulting in cubitus varus deformity [5, 6]. The optimal pin configuration that provides adequate stability of the fracture and minimizes the risk of iatrogenic neurovascular injury is still a matter of discussion randomized into two surgical arms; External fixation with percutaneous K-wire pinning, versus open reduction internal fixation with a locked volar distal radius plate. The primary outcome measurement used, was the Patient Rated Wrist Evaluation (PRWE), at 6 weeks, 3, 6 and 12 months. Secondary outcome measure Kreder and associates 28 compared the results of open reduction and internal fixation (ORIF) versus external fixation and pinning. The study randomly assigned 179 adult patients with displaced intra-articular fractures of the distal radius to receive indirect percutaneous reduction and external fixation ( n = 88) or ORIF ( n = 91)

Qu H, Knabe C, Radin S, Garino J, Ducheyne P (2015) Percutaneous external fixator pins with bactericidal micron-thin sol-gel films for the prevention of pin tract infection. Biomaterials 62:95-105. PubMed PMID: 26036176 Google Scholar; 59. Piza G, Caja VL, Gonzalez-Viejo MA, Navarro A (2004) Hydroxyapatite-coated external-fixation pins Percutaneous sacroiliac (SI) screw fixation is indicated for unstable posterior pelvic ring injuries, sacral fractures, and SI joint dislocations. This article provides a review of indications and contraindications, preoperative planning, imaging techniques and relevant anatomy, surgical technique, complications and their management, and outcomes after SI screw insertion

External fixation - Wikipedi

  1. Percutaneous fixation of left tarsometatarsal dislocation with associated fracture at the base of the 2nd left metatarsal (it can be any one of five metatarsals) that is also stabilized by the percutaneous fixation of the dislocation: CPT code 28606 would be reported, per joint. pilon or tibial plafond), with internal or external fixation.
  2. imally invasive) treatment brings the advantages of internal fixation without the disadvantages of a wide surgical approach, e.g. preserving the palmar ligament complex, and local vascularity, and avoiding postoperative immobilization
  3. some evidence to support the use of external fixation or percutaneous pinning however their precise role and methods are not established and whether this will produce consistently better long-term outcome is also not clear. The advent of volar locking plates have extended the indications to older population as failure rates are low

Recent work assessing the follow-up functional results in patients undergoing arthroscopy and fluoroscopy-assisted external fixation with pinning versus only fluoroscopy assisted external fixation with percutaneous pinning has found better wrist range of motion in flexion, extension and supination.[55,56] DASH scores were comparable in either. Introduction. The incidence of surgical treatment of distal radius fractures has increased since the introduction of the volar locking plate (VLP) at the turn of the 21st century [].VLP has become the most commonly used surgical method, while the use of percutaneous methods, i.e. percutaneous pinning or external fixation (EF), has been reported to decrease [1-3] Comparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures. A randomized study. J Bone Joint Surg Am. 2008;90(1):16-22. Rizzo M, Katt BA, Carothers JT. Comparison of locked volar plating versus pinning and external fixation in the treatment of unstable intraarticular distal radius fractures Percutaneous fixation of pelvic injuries (Figure 1) was first described by Routt in 1993.8This method is biomechanically comparable to open reduction and internal fixation with plates and screws but offers the advantages of minimally invasive surgical techniques. Performing percutaneous fixation is associated with certain complications. Th Because reference to external fixation has also been removed from the new descriptor, if external fixation is performed in addition to the internal fixation described by code 25606, it should be reported separately with 20690, Application of a uniplane (pins or wires in one plane), unilateral, external fixation system

Internal Versus External Fixation for the Treatment of

Open Reduction Internal Fixation Versus Percutaneous

This study compared the effectiveness of two methods used in surgical treatment of such fractures: percutaneous pinning and external fixation.</p> <p>Methods</p> <p>We randomly allocated 100 patients into two groups treated surgically with modified De Palma percutaneous pinning and bridging external fixation Complications following fixation of distal radius fractures remain prevalent despite advances in fixation technology. • Volar locked plating, dorsal plating, dorsal bridge plating, fragment-specific fixation, external fixation, and percutaneous pinning confer fixation-specific risks as well as complications common to all treatment modalities

The Radiology Assistant : Wrist - Fractures

Surgical Versus Conservative Interventions for Displaced

achieving provisional fixation for anatomic healing. This technique requires meticulous attention to detail and teamwork among the surgeon, surgical assistants, nursing staff, and anesthesia staff. History Closed reduction and percutaneous fixation was first described by Bohler2 for the treatment of pediatric proxi-mal humerus fractures (1997). Saetermo R: External fixation versus percutaneous pinning for unstable Colles' fracture. Equal outcome in a randomized study of 60 patients. Orthop Scand (2009). Surgical interventions for treating distal radial fractures in adults (Cochrane Review) Harley BJ, Scharfenberger A, Beaupre LA, Jomha N, Weber DW: Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius--a prospective randomized trial. J Hand Surg [Am]. 2004, 29: 815-824. 10.1016/j.jhsa.2004.05.006. Article Google Scholar 31 Distal Phalanx (DP) fractures are the most common hand injuries. Bone fixation associated with soft tissue reconstruction, is often required to ensure more effective outcomes. The aim of the present study is to compare functional outcomes of DP fractures surgically treated with crossed manual drilled 23 Gauge needles vs crossed Kirschner-wires (k-wire)

Comparison of Locked Volar Plating Versus Pinning and

Percutaneous fixation with Kirschner wires versus volar locking-plate fixation in adults with dorsally displaced fracture of distal radius: five-year follow-up of a randomized controlled trial. Costa ML, Achten J, Rangan A, Lamb SE, Parsons NR External fixation for intraarticular fractures of distal radius. J Bone Joint Surg (Br) 1991; 73: 302-6. 20. Kreder HJ, Hanel DP, Agel J, Mckee M, et al. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of distal radius: A randomized, controlled trial Percutaneous Pinning-Methods variety described most common radial styloid pinning + dorsal-ulnar corner of radius pinning supplemental immobilization with cast, splint in conjunction with external fixation (Augmented external fixation) 48. Percutaneous Pinning 2 radial styloid pins - Mah and Atkinson, J Hand Surg 1992 excellent anatomic 82%.

Upper limb fractures (part2)

Percutaneous pinning - Wikipedi

INTRODUCTI ON: We studied the clinical and functional outcome of distal radius fractures managed by ligamentotaxis and/or percutaneous pinning versus open reduction & internal fixation by buttress plates. METHODS : This prospective study was conducted during Aug 2012 to October 2014 Grewal R, MacDermid JC, King GJ, Faber KJ: Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial. J Hand Surg Am. 2011, 36: 1899-1906. 10.1016/j.jhsa.2011.09.015. Article PubMed Google Scholar 7 Open Rx of ulnar shaft fracture, ± internal/external fixation Open Rx radius OR ulnar fx in a both bone fx; ± internal/external fixation Open Rx of radius AND ulnar fxs in a both bone fx; ± internal/external fixation Percutaneous pinning of metatarsal fx, w/manipulation, each Open Rx of metatarsal fracture, ± internal/external fixation, eac

Abstract. Treatment of reducible unstable fractures of the distal radius in adults: a randomised controlled trial of De Palma percutaneous pinning versus bridging external fixation João C Belloti, Marcel JS Tamaoki*, Alvaro N Atallah, Walter M Albertoni, João BG dos Santos and Flavio Faloppa Background: At present, there is no conclusive evidence regarding the best treatment method for. • Aladin A, Davis TRC. Dorsal fracture-dislocation of the proximal interphalangeal joint: a comparative study of percutaneous Kirschner wire fixation versus open reduction and internal fixation. J Hand Surg Eur 2005;30B(2):120-8 • Ozer K. Temporary bridge plate fixation of pilon fractures of the proximal interphalangeal joint routinely. External fixator is quite effective method of treatment for these fractures. In our study we have discussed closed reduction and fixation techniques and found better results with external fixator using principle of ligamentotaxis. Keywords: Distal end radius fracture, Cast, Percutaneous pinning, External fixator, Radiograp

Avoiding Distal Radius Fracture Complications (Broken Wrist