Functional outcomes of percutaneous pinning augmented by Joshi's clamp in displaced extra-articular distal radius fractures

Abstract

Aim: Fractures of the distal radius in adults are a common injury, particularly in the elderly people. Closed reduction of displaced extra-articular fractures and percutaneous pinning is a well-established treatment option. The aim of the study was to assess the functional outcomes of percutaneous pinning augmented by Joshi's clamp in patients with displaced extra-articular distal radius fractures. Materials and Methods: Twenty adult patients with displaced fractures requiring manipulation were recruited prospectively over a 1-year period. There were 13 (65%) females and 7 (35%) males, with a mean age of 36.45 years (range; 20–55 years). All the procedures were performed in the operating room by a single surgeon. External plaster support was not needed. Immediate postoperative active wrist mobilization was started. The patients were followed at 2, 6, and 8 weeks, and then monthly for a minimum of 6 months, looking for clinical and radiological union, Cooney's wrist score, and any complication. Results: None of the patients was lost to follow-up. According to the Cooney's score, 9 patients (45%) had good results, 9 patients (45%) had fair results, and poor results in 2 patients (10%). Fracture consolidation was achieved at an average of 43 days (range; 36–50). With regards to complications, 2 patients (10%) had a painful scar and 2 patients (10%) had a pin-tract infection. Conclusion: This technique is a viable alternative option. It allowed minimal soft-tissue injury, adequate stability, and early rehabilitation in our patients. Long-term comparative randomized studies are still warranted.