{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:23:54Z","timestamp":1793283834071,"version":"4.5.0"},"reference-count":46,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2005,6,1]],"date-time":"2005-06-01T00:00:00Z","timestamp":1117584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2005,6]]},"abstract":"<jats:p> We performed a prospective, randomised study on 57 patients older than 60 years of age with unstable, extra-articular fractures of the distal radius to compare the outcome of immobilisation in a cast alone with that using supplementary, percutaneous pinning. <\/jats:p><jats:p> Patients treated by percutaneous wires had a statistically significant improvement in dorsal angulation (mean 7\u00b0), radial length (mean 3 mm) and radial inclination (mean 3 mm) at one year. However, there was no significant difference in functional outcome in terms of pain, range of movement, grip strength, activities of daily living and the SF-36 score except for an improved range of movement in ulnar deviation in the percutaneous wire group. One patient developed a pin-track infection which required removal of the wires at two weeks. <\/jats:p><jats:p> We conclude that percutaneous pinning of unstable, extra-articular fractures of the distal radius provides only a marginal improvement in the radiological parameters compared with immobilisation in a cast alone. This does not correlate with an improved functional outcome in a low-demand, elderly population. <\/jats:p>","DOI":"10.1302\/0301-620x.87b6.15608","type":"journal-article","created":{"date-parts":[[2005,5,23]],"date-time":"2005-05-23T18:33:29Z","timestamp":1116873209000},"page":"837-840","source":"Crossref","is-referenced-by-count":120,"title":["Unstable extra-articular fractures of the distal radius"],"prefix":"10.1302","volume":"87-B","author":[{"given":"T.","family":"Azzopardi","sequence":"first","affiliation":[{"name":"Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, UK, Wishaw General Hospital, Netherton Street, Wishaw, ML2 0DP, UK, St Luke\u2019s Hospital, Guardamangia Hill, Guardamangia, MSD09, Malta."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Ehrendorfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Coulton","sequence":"additional","affiliation":[{"name":"Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, UK, Wishaw General Hospital, Netherton Street, Wishaw, ML2 0DP, UK, St Luke\u2019s Hospital, Guardamangia Hill, Guardamangia, MSD09, Malta."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Abela","sequence":"additional","affiliation":[{"name":"Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, UK, Wishaw General Hospital, Netherton Street, Wishaw, ML2 0DP, UK, St Luke\u2019s Hospital, Guardamangia Hill, Guardamangia, MSD09, Malta."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Colles A. On the fracture of the carpal extremity of the radius. Edin Med Surg J 1814;10:182.","DOI":"10.1056\/NEJM181410010030410"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Jupiter JB. Fractures of the distal end of the radius. J Bone Joint Surg [Am] 1991; 73-A:461\u20139.","DOI":"10.2106\/00004623-199173030-00019"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B3.0780404"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B4.3403617"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Cooney WP 3rd, Dobyns JH, Linscheid RL. Complications of Colles\u2019 fractures. J Bone Joint Surg [Am] 1980;62-A:613\u201319.","DOI":"10.2106\/00004623-198062040-00016"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B4.3611172"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(88)90090-3"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.jhsu025a0019"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200006000-00013"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Cooney WP 3rd, Lindscheid R, Dobyns J. External pin fixation for unstable Colles\u2019 fracture. J Bone Joint Surg [Br] 1979;61-B:840\u20135.","DOI":"10.2106\/00004623-197961060-00006"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.67B3.3997946"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.3109\/17453678608994383"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(87)90047-7"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(89)90113-7"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(89)90116-2"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Clancey G. Percutaneous Kirschner-wire fixation of Colles fractures: a prospective study of thirty cases. J Bone Joint Surg [Am] 1984;66-A:1008\u201314.","DOI":"10.2106\/00004623-198466070-00006"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(92)90012-Q"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(99)90045-1"},{"key":"R19","unstructured":"Shankar NS, Craxford AD. Comminuted Colles\u2019 fracture: a prospective trial of management. J R Coll Surg Edin 1992;37:199\u2013202."},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B4.7615598"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Rayhack JM. The history and evolution of percutaneous pinning of displaced distal radius fractures. Orthop Clin North Am 1993;24:287\u2013300.","DOI":"10.1016\/S0030-5898(21)00017-1"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Green DP. Pins and plaster treatment of comminuted fractures of the distal end of the radius. J Bone Joint Surg [Am] 1975;57-A:304\u201310.","DOI":"10.2106\/00004623-197557030-00003"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Weber SC, Szabo RM. Severely comminuted distal radial fracture as an unsolved problem: complications associated with external fixation and pins and plaster techniques. J Hand Surg [Am] 1986;11:157\u201365.","DOI":"10.1016\/S0363-5023(86)80045-4"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B1.2915010"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(89)90115-0"},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Kongsholm J, Olerud C. Plaster cast versus external fixation for unstable intraarticular Colles\u2019 fractures. Clin Orthop 1989;241:57\u201365.","DOI":"10.1097\/00003086-198904000-00008"},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Simic PM, Weiland AJ. Fractures of the distal aspect of the radius: changes in treatment over the past two decades. J Bone Joint Surg [Am] 2003;85-A:552\u201364.","DOI":"10.2106\/00004623-200303000-00026"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(88)80012-1"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Trumble TE, Hanel DP, Geissler WB, Berger RA. Intra-articular fractures of the distal aspect of the radius. J Bone Joint Surg [Am] 1998;80-A:582\u2013600.","DOI":"10.2106\/00004623-199804000-00015"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Rogachefsky RA, Lipson SR, Applegate B, et al. Treatment of severely comminuted intra-articular fractures of the distal end of the radius by open reduction and combined internal and external fixation. J Bone Joint Surg [Am] 2001;83-A:509\u201319.","DOI":"10.2106\/00004623-200104000-00005"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B4.0800665"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"M\u00fcller ME, Nazarian S, Koch P, Schatzker J. The comprehensive classification of fractures of long bones. Heidelberg, etc: Springer Verlag, 1990.","DOI":"10.1007\/978-3-642-61261-9"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Frykman G. Fractures of the distal radius including sequelae-shoulder-hand-finger syndrome, disturbance in the distal radioulnar joint and impairment of nerve function: a clinical and experimental study. Acta Orthop Scand 1967;Suppl 108:3.","DOI":"10.3109\/ort.1967.38.suppl-108.01"},{"key":"R34","doi-asserted-by":"crossref","unstructured":"Bechtol CO. Grip tests: the use of a dynamometer with adjustable handle spacings. J Bone Joint Surg [Am] 1954;36-A:820\u20134.","DOI":"10.2106\/00004623-195436040-00013"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90280-1"},{"key":"R36","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/22.3.158"},{"key":"R37","unstructured":"International Quality of Life Assessment Project. A standard protocol for translating and psychometrically testing the SF-36 in different language versions. http:www.iqola.org (accessed 7\/3\/05)."},{"key":"R38","unstructured":"Ware JE, Kosinski MA, Keller SD. SF-36 physical and mental health summary scales: a user\u2019s manual. Boston: The Health Institute, New England Medical Center, 1994."},{"key":"R39","unstructured":"Ware JE, Snow KK, Kosinski MA, Gandek B. SF-36 health survey: manual and interpretation guide. Boston: The Health Institute, New England Medical Center, 1993."},{"key":"R40","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B7.0831029"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Van Der Linden W, Ericson R. Colles\u2019 fracture: how should its displacement be measured and how should it be immobilized? J Bone Joint Surg [Am] 1981;63-A: 1285\u20138.","DOI":"10.2106\/00004623-198163080-00009"},{"key":"R42","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(82)80147-0"},{"key":"R43","doi-asserted-by":"crossref","unstructured":"Porter M, Stockley I. Fractures of the distal radius: intermediate and end results in relation to radiologic parameters. Clin Orthop 1987;220:241\u201352.","DOI":"10.1097\/00003086-198707000-00034"},{"key":"R44","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199704000-00013"},{"key":"R45","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)00251-5"},{"key":"R46","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(97)80159-1"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.87B6.15608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.87B6.15608","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.87B6.15608","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:06:14Z","timestamp":1629144374000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.87B6.15608"}},"subtitle":["A PROSPECTIVE, RANDOMISED STUDY OF IMMOBILISATION IN A CAST <i>VERSUS<\/i> SUPPLEMENTARY PERCUTANEOUS PINNING"],"short-title":[],"issued":{"date-parts":[[2005,6]]},"references-count":46,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2005,6]]}},"alternative-id":["10.1302\/0301-620X.87B6.15608"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.87b6.15608","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,6]]}}}