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The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 6 | Pages 837 - 840
1 Jun 2005
Azzopardi T Ehrendorfer S Coulton T Abela M

We performed a prospective, randomised study on 57 patients older than 60 years of age with unstable, extra-articular fractures of the distal radius to compare the outcome of immobilisation in a cast alone with that using supplementary, percutaneous pinning.

Patients treated by percutaneous wires had a statistically significant improvement in dorsal angulation (mean 7°), radial length (mean 3 mm) and radial inclination (mean 3 mm) at one year. However, there was no significant difference in functional outcome in terms of pain, range of movement, grip strength, activities of daily living and the SF-36 score except for an improved range of movement in ulnar deviation in the percutaneous wire group. One patient developed a pin-track infection which required removal of the wires at two weeks.

We conclude that percutaneous pinning of unstable, extra-articular fractures of the distal radius provides only a marginal improvement in the radiological parameters compared with immobilisation in a cast alone. This does not correlate with an improved functional outcome in a low-demand, elderly population.


The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 5 | Pages 777 - 777
1 Jul 2004
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 3 | Pages 558 - 558
1 May 1999
EHRENDORFER S READING A


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 2 | Pages 372 - 372
1 Mar 1999
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 2 | Pages 368 - 368
1 Mar 1999
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 5 | Pages 933 - 933
1 Sep 1998
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 5 | Pages 933 - 933
1 Sep 1998
EHRENDORFER S