Minimally Invasive Fixation for Wrist Fractures

  • Louis W. Catalano
  • Milan M. Patel
  • Steven Z. Glickel


There are multiple techniques for treating distal radius fractures. Closed reduction and percutaneous pinning remains a valid and well-accepted method of surgical treatment for displaced and unstable fractures. Pinning has been described for both intraarticular and extraarticular fractures and it represents a relatively simple, minimally invasive, and cost-effective method of treatment. This technique may become more appealing as complications from volar plating are being reported in the literature.


Distal Radius Distal Radius Fracture Volar Plating Radial Styloid Percutaneous Pinning 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Special thanks to Benjamin Chia, BA, for his assistance with preparation of the manuscript.


  1. 1.
    Lambotte A. L’Intervention opératoire dans les fractures récentes et anciennes. Paris: A. Maloine; 1907Google Scholar
  2. 2.
    Willenegger H, Guggenbuhl A. [Operative treatment of certain cases of distal radius fracture.]. Helv Chir Acta. 1959;26(2):81–94PubMedGoogle Scholar
  3. 3.
    Stein AH, Jr., Katz SF. Stabilization of comminuted fractures of the distal inch of the radius: percutaneous pinning. Clin Orthop Relat Res. May 1975(108):174–181CrossRefGoogle Scholar
  4. 4.
    Clancey GJ. Percutaneous Kirschner-wire fixation of Colles fractures. A prospective study of thirty cases. J Bone Joint Surg Am. 1984;66(7):1008–1014PubMedGoogle Scholar
  5. 5.
    Fernandez DL, Geissler WB. Treatment of displaced articular fractures of the radius. J Hand Surg (Am). 1991;16(3):375–384CrossRefGoogle Scholar
  6. 6.
    Kapandji A. [Internal fixation by double intrafocal plate. Functional treatment of non articular fractures of the lower end of the radius (author’s transl)]. Ann Chir. 1976;30(11–12):903–908PubMedGoogle Scholar
  7. 7.
    Kapandji A. [Intra-focal pinning of fractures of the distal end of the radius 10 years later]. Ann Chir Main. 1987;6(1):57–63CrossRefPubMedGoogle Scholar
  8. 8.
    Naidu SH, Capo JT, Moulton M, Ciccone W, II, Radin A. Percutaneous pinning of distal radius fractures: a biomechanical study. J Hand Surg (Am). 1997;22(2):252–257CrossRefGoogle Scholar
  9. 9.
    Rogge RD, Adams BD, Goel VK. An analysis of bone stresses and fixation stability using a finite element model of simulated distal radius fractures. J Hand Surg (Am). 2002;27(1):86–92Google Scholar
  10. 10.
    Harley BJ, Scharfenberger A, Beaupre LA, Jomha N, Weber DW. Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius - a prospective randomized trial. J Hand Surg (Am). 2004;29(5):815–824CrossRefGoogle Scholar
  11. 11.
    Ludvigsen TC, Johansen S, Svenningsen S, Saetermo R. External fixation versus percutaneous pinning for unstable Colles’ fracture. Equal outcome in a randomized study of 60 patients. Acta Orthop Scand. 1997;68(3):255–258CrossRefPubMedGoogle Scholar
  12. 12.
    Habernek H, Weinstabl R, Fialka C, Schmid L. Unstable distal radius fractures treated by modified Kirschner wire pinning: anatomic considerations, technique, and results. J Trauma. 1994;36(1):83–88CrossRefPubMedGoogle Scholar
  13. 13.
    Mah ET, Atkinson RN. Percutaneous Kirschner wire stabilisation following closed reduction of Colles’ fractures. J Hand Surg (Br). 1992;17(1):55–62Google Scholar
  14. 14.
    Munson GO, Gainor BJ. Percutaneous pinning of distal radius fractures. J Trauma. 1981;21(12):1032–1035CrossRefPubMedGoogle Scholar
  15. 15.
    Strohm PC, Muller CA, Boll T, Pfister U. Two procedures for Kirschner wire osteosynthesis of distal radial fractures. A randomized trial. J Bone Joint Surg Am. 2004;86-A(12):2621–2628PubMedGoogle Scholar
  16. 16.
    Fritz T, Wersching D, Klavora R, Krieglstein C, Friedl W. Combined Kirschner wire fixation in the treatment of Colles fracture. A prospective, controlled trial. Arch Orthop Trauma Surg. 1999;119(3–4):171–178CrossRefPubMedGoogle Scholar
  17. 17.
    Rozental TD, Blazar PE. Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius. J Hand Surg (Am). 2006;31(3):359–365CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Louis W. Catalano
    • 1
    • 2
  • Milan M. Patel
    • 1
  • Steven Z. Glickel
    • 1
  1. 1.Department of Orthopaedic SurgeryAttending Hand Surgeon, C.V. Starr Hand Surgery CenterNew YorkUSA
  2. 2.Columbia College of Physicians and Surgeons, St. Luke’s - Roosevelt Hospital CenterNew YorkUSA

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