Percutaneus Pinning Versus Conservative Treatment of Pediatric Overriding Distal Forearm Fractures

2020-03-31 04:03:45 | BioPortfolio


Overriding distal forearm fractures are typically treated with reduction and percutaneous pinning. However, conservative treatment seems to have equal clinical results.

This is a randomised controlled trial comparing outcomes between percutaneous pin fixation and cast immobilisation without reduction.


Overriding fractures have been managed with anatomical reduction performed under anaesthesia with or without percutaneous pinning. This research protocol was developed due to good results reported on leaving the fractures in an overriding position.

On this randomised controlled trial we will compare objective outcomes between anatomic reduction and percutaneous pin fixation together with finger trap traction and cast immobilisation.

Inclusion criteria are patients younger than 11 years old (Tanner 0) with completely overriding distal radius fractures. At the emergency department patients are randomised into two groups: anatomic reduction and percutaneous pin fixation (control group) or finger trap traction and cast immobilisation (experimental group).

The current controversy is whether cast immobilization alone is an adequate stabilization or whether percutaneous pin fixation is more appropriate for displaced, complete, distal forearm (overriding) metaphyseal fractures. The objectives of this trial are to compare the outcomes between surgical treatment with percutaneous pinning and conservative treatment with finger trap method for completely displaced distal radius fractures. Our null hypothesis is that there are no radiological or clinically relevant differences in outcome measures between the two treatment groups. We expect operative treatment to result in earlier radiological recovery and more satisfied patients than non-operative treatment at 6 weeks, but we expect the differences to be clinically and statistically insignificant at 6 months.

Study Design


Overriding Distal Forearm Fractures


Cast immobilisation, Percutaneus pinning


New Children's Hospital




Töölö Hospital

Results (where available)

View Results


Published on BioPortfolio: 2020-03-31T04:03:45-0400

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Fractures of the larger bone of the forearm.

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