Abstract
Fractures of the distal radius represent one of the most common fractures and have a high social-economic relevance. For A2- and A3-fractures as well as for some cases of displaced intraarticular C-fractures we prefer closed reduction and K-wire fixation. We retrospectively analysed our results to validate this method. Our study consists of three branches: Clinical inspection, X-ray, and the assessment of different outcome protocols and the DASH-score. Evaluation of long-term results according to the different scoring systems showed a high correlation between the AO fracture classification and the final outcome. Excellent or good results were reached in nearly 100% for A-fractures and only 50% for C fractures. Our study show that Kapandji pinning of the distal extraarticular radius fractures proves the gold standard for surgical treatment. However, only few exceptional cases of C-fractures are indications for percutaneous pinning.
Published Version
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