L'ostéosynthèse par double embrochage souple du radius. Traitement fonctionnel des fractures de l'extrémité inférieur du radius. A propos d'une série de 130 cas

Abstract

The insertion of two elastic spring-pins in the marrow cavity of the radius gives automatically setting of the radius distal extremity's fracture. The stabilization so obtained is enough to avoid any kind of plaster immobilization. This quick and simple intervention was systematically practised during a two year period for all fractures of the lower-end of the radius. The pins are introduced directly through the skin without the need for incision. Patients are encouraged to undertake their normal activities immediately after the operation. The operation technic is described in detail in the following article. The study performed on 130 fractures observed and recorded in detail allows the analyses of the complications encountered, results obtained and the definition of indications as well as the method's limitations. Good and excellent anatomical results were obtained in 71%. Good and excellent functional results were obtained in 74% of the cases after the 6th week and, as high as 92%, after the 12th week. The majority of the negative anatomical results obtained only pertains to poor alignment of the radius's front wall. At the present time, this poor alignment must be stabilized and corrected by the introduction of a third anterior pin.