Improvements in Pinning Fixation for Distal Radius Fractures

Despite the increasingly widespread use of the volar plate, the pinning of the distal radius keeps its place as a basic technique in the treatment of extra-articular and intra-articular fractures with dorsal displacement and little comminution. To date, there are 2 types of pinning recognized as stable and reliable: the "cross-pinning" with 2 styloid pins and a dorso-ulnar one and the multiple mixed pinning, which is an improved version of the classical technique of Kapandji. This article offers a modified technique of mixed multiple pinning: the pinning type Fort-de-France, which offers a more stable reduction. However, our technique would have to be confirmed by clinical and biomechanical studies.