Long-term outcomes of closed reduction and percutaneous pinning for the treatment of XXXX .

@entity1 @entity30844 @entity158 @entity174
PURPOSE: The purpose of this study was to review the long-term outcomes of @entity1 with @entity174 treated with closed reduction and percutaneous pinning. METHODS: We retrospectively reviewed 54 @entity1 with 55 @entity30844 , A3, C1, or C2 @entity174 treated with closed reduction and percutaneous pinning. The average age of the @entity1 was 57 years. All @entity1 returned for follow-up examination at an average of 59 months, with a minimum of 22 months. Measurements included active range of motion, grip strength, @entity158 assessment, Disabilities of the Arm, Shoulder, and Hand scores, and final radiographic assessment. The paired t-test was used to determine significant differences. RESULTS: All @entity174 healed within 6 weeks. Active range of motion and grip strength of the injured wrist were statistically equal to those of the uninjured wrist for each of the parameters except wrist flexion and forearm supination. However, the difference in wrist flexion was 5 degrees and the difference in supination was 4 degrees , both of which are of little clinical importance. Eighty-five percent of @entity1 were @entity158 free. Radiographic parameters comparing the immediate postoperative view with the views taken at final follow-up showed no significant differences. One @entity1 required reoperation for loss of reduction after a fall in the preoperative period, and 3 others had minor complications. CONCLUSIONS: @entity1 treated with closed reduction and percutaneous pinning for @entity174 had excellent range of motion, normal Disabilities of the Arm, Shoulder, and Hand scores, and no significant differences in the radiographic parameters between @entity174 fixation and @entity174 healing. Complications were few. Pinning is an efficacious, low-cost treatment option for 2- and 3-part @entity174 with excellent long-term results. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
