Vertical transarticular pin fixation for unstable XXXX : impressions after 16 years of experience.

@entity1 @entity174 @entity3681 @entity6 @entity1171 @entity51 @entity79 @entity2720 @entity130
The usage of vertical transarticular pin fixation combined with plaster immobilization for severe @entity3681 has been reviewed in 92 consecutive cases over a period of 16 years. Moderately simple in application and without a skin incision, the procedure has been found to provide efficient and reliable short-term stabilization of the ankle and @entity2720 with minimal complications. A new technique is described for accurate placement of the pin and the prevention of its migration. It is a reasonable alternative treatment for certain unstable distal tibial and @entity1171 when open reduction with conventional internal fixation cannot be done. In particular, the method is recommended in treating displaced @entity174 at the ankle and deltoid ligament ruptures in geriatric @entity1 . It is often useful as a salvage or last-resort procedure in unusually severe @entity3681 with @entity51 . In many instances additional @entity130 to the head, thorax or abdomen may have been sustained. Thus total @entity1 care is essential and priorities must be recognized. The treatment of ankle @entity130 , furthermore, in a physiologically-aged @entity6 @entity1 is often not the same as that for similar injuries in a young healthy adult. The clinical judgement and experience of the operator is the basis for selection of the procedure. The simplest method is often the best. Pin fixation, however, is not for everyone. It should be done only by surgeons qualified to treat @entity79 and even then only for those situations in which its usage is specifically indicated.
