Abstract
This technical note presents a combined antegrade and retrograde intrafocal K-wire pinning technique for managing unstable and displaced distal third of the diaphysis fractures in older children (>10 years). While intrafocal pinning is established for distal radius fractures, its use in complex, unstable fractures in this age group is less explored. These fractures are prone to re-displacement, and single-direction pinning may be insufficient due to displacement severity, reduction challenges, or soft-tissue injury. The combined approach offers enhanced stability, particularly in older children at higher risk of re-displacement. The author reports good functional and radiological outcomes with no complications in their case series and details the surgical steps involved in this combined technique.
Published Version
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