Functional outcome analysis of fixation of distal radius fractures using five pin technique


  • Nilesh S. Sakharkar Department of Orthopaedics, GMCH Nagpur, Maharashtra, India
  • Pankaj V. Tathe Department of Orthopaedics, GMCH Nagpur, Maharashtra, India
  • Rohit K. Bhurre Department of Orthopaedics, GMCH Nagpur, Maharashtra, India
  • Chandan Arora Department of Orthopaedics, GMCH Nagpur, Maharashtra, India



Distal end radius fracture, Five pin technique, Frykmann’s type, DASH score


Background: One of the most frequent injuries seen in orthopaedic practise is a distal radius fracture. They account for 8-15% of all adult bone injuries. Younger and older age groups are both affected by distal radius fractures, which are bimodal in distribution and correspond to high and low energy trauma, respectively.

Methods: 25 patients with distal radius fractures who were hospitalised and subsequently underwent five pin fixations as well as those who came to the outpatient department for postoperative follow-up.

Results: We evaluated at 25 patients who had distal radius fractures prospectively. The patients' ages ranged from 22 years to 68 years old, with a mean age of 42.8 years among them at the time the fracture was first noticed. Among the patients, there were 18 men (72%) and 7 women (28%).

Conclusions: The five-pin technique treats displaced intra and extra articular fractures without significant articular and metaphyseal comminution and is minimally invasive.


Gehrmann SV, Windolf J, Kaufmann RA. Distal radius fracture management in elderly patients: a literature review. J Hand Surg 2008;33(3):421-9.

Young BT, Rayan GM. Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years. J Hand Surg. 2000;25(1):19-28.

Jupiter JB, Fernandez DL. Comparative classification for fractures of the distal end of the radius. J Hand Surg. 1997;22(4):563-71.

Christina G, Ward MM,1 Atroshi I. The shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH): validity and reliability based on responses within the full-length DASH. BMC Musculoskelet Disord. 2006;7:44.

Sarmiento A, Pratt GAW, Berry NC, Sinclair WF. Colles fractures: functional bracing in supination. J Bone Joint Surg. 1975;57:311-7.

Brennan SA, Kiernan C, Beecher S, O'Reilly RT, Devitt BM, Kearns SR, et al. Volar plate versus k-wire fixation of distal radius fractures. Injury. 2016;47(2):372-6.

Chaudhry H, Kleinlugtenbelt YV, Mundi R, Ristevski B, Goslings JC, Bhandari M. Are volar locking plates superior to percutaneous k-wires for distal radius fractures? a meta-analysis. Clin Orthop Relat Res. 2015;473(9):3017-27.

Kumar S, Khan AN, Sonanis SV. Radiographic and functional evaluation of low profile dorsal versus volar plating for distal radius fractures. J Orthop. 2016;13(4):376-82.

Goldfarb C, Yin Y, Gilula L, Andrew F, Martin B. Wrist Fractures: what the clinician wants to know. Radiology. 2011;219:11-28.

Hammer OL, Jakobsen RB, Clementsen S, Fuglesang H, Bjornelv GW, Randsborg PH. Cost-effectiveness of volar locking plate compared with augmented external fixation for displaced intra-articular wrist fractures. J Bone Joint Surg Am. 2020;102(23):2049-59.

Handoll HH, Madhok R. Closed reduction methods for treating distal radial fractures in adults. Cochrane Database Syst Rev. 2003;2003(1):CD003763.

Ilyas AM. Surgical approaches to the distal radius. Hand. 2011;6(1):8-17.






Original Research Articles