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In addition to a stable fixator construct, stable pin fixation is needed to prevent the vicious cycle of pin loosening, pin site infection and further loosening [15].
We now recommend pin fixation when performing trapeziometacarpal joint arthrodesis.
The study aimed to compare the efficacy of the open reduction and bioabsorbable poly-d,l-lactic acid (PDLLA) pin fixation method with the closed reduction and lateral external fixation method in irreducible delayed Gartland type III SHF in children.
A prospective randomized controlled study was undertaken to compare the stability, functional outcome and iatrogenic ulnar nerve injury between lateral pin fixation and medial lateral pin fixation.
IM pin fixation can provide good outcomes, even for fractures with a significant amount of shortening and comminution.
However, controversy persists between lateral or crossed medial and lateral pin fixation techniques [4].
Sixty-two patients with Gartland type III supracondylar fracture of the humerus were randomized into two groups lateral pin fixation (n = 31) and medial lateral pin fixation (n = 31).
The management of displaced supracondylar fracture of the humerus with closed reduction and percutaneous pin fixation is the most widely accepted method of treatment, but controversy continues regarding the pin fixation techniques.
However, controversy regarding the optimal technique, whether lateral or crossed medial lateral pin fixation is still debatable.
Operative treatment options range from isolated pin fixation to external fixation to locked angle plate fixation [6, 9, 21].
Percutaneous pin fixation is an excellent technique provided distal aspect of radius is not severely comminuted or osteoporotic.
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