Abstract :

Introduction:Distal radius fractures are the most common fractures of the upper extremity.Most common mode of injury is a fall on outstretched hand.Management of distal radial fractures is a controversial topic with poor reported outcomes in up to one third of cases.It had wide variety of treatment options such as closed reduction and POP cast,internal fixation,external fixation and percutaneous pin fixation.Closed reduction and percutaneous pinning with 'The five pin technique' improves the reliability of fixation.Current study aimed to assess the clinical and functional outcome of fixation of distal radius fractures using the five pin technique.Material and Methods:30 patients with fracture of distal radius were subjected to history taking,thorough clinical examination and umderwent five pin technique.Results:Functional outcome Quick DASH scoring.Score of less than 10 in 14 patients,11-15 score in 7 patients,16-20 score in 6 patients and more than 20 score in 3 patients. Conclusion: The five pin technique is a versatile tool which provides functional outcomes better than conventional K wire fixation and comparable to volar plating as seen in our study.This study proved that customised 5-pin percutaneous fixation was sufficiently stable and controlled all fragments of distal radial fractures effectively to allow early mobilisations to prevent stiffness and reflex sympathetic dystrophy with excellent functional outcomes.

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