Camus Emmanuel J, Van Overstraeten Luc
Clinique du Val de Sambre, 162 Route de Mons, Maubeuge, France.
Clinique de Lille Sud, 96 rue Gustave Delory, Lesquin, France.
Eur J Orthop Surg Traumatol. 2018 Dec;28(8):1477-1485. doi: 10.1007/s00590-018-2221-z. Epub 2018 Jun 5.
Displaced fractures of the distal radius often require reduction and fixation to improve outcome in active patients. The volar locking plate gained ground over pinning, which was the first surgical solution described. But pinning methods have since evolved with fewer complications. The authors present a clinical study of distal radius fracture fixation using the HK2 technique, where subchondral pins are connected to intra-focal pins. The results are satisfactory with a lower complication rate compared to other pinning methods. This technical improvement relaunches the pinning technique, with its two advantages, being faster and significantly cheaper than locking plates, with similar long-term functional results.
桡骨远端移位骨折通常需要复位和固定，以改善活动患者的预后。掌侧锁定钢板逐渐取代了最早描述的手术解决方案——穿针固定。但此后穿针方法不断改进，并发症减少。作者介绍了一项使用HK2技术固定桡骨远端骨折的临床研究，该技术将软骨下针与病灶内针相连。与其他穿针方法相比，结果令人满意，并发症发生率更低。这项技术改进使穿针技术得以复兴，它具有两个优点，比锁定钢板更快且成本显著更低，长期功能结果相似。
