Gunay, CuneydOken, Ozdamar FuadYavuz, Osman YukselGunay, Sinem HursenAtalar, Hakan2025-10-242025-10-2420151306-696Xhttps://doi.org/10.5505/tjtes.2015.55938https://search.trdizin.gov.tr/tr/yayin/detay/197932https://hdl.handle.net/20.500.12899/4023BACKGROUND: The aim of the study was to investigate whether the number and position of Kirschner (K)-wires, and the manner and duration of immobilization influence radiologic and functional outcomes of distal radius fractures treated with percutaneous K-wire fixation. METHODS: Ninety-two patients were included into the study with a mean follow-up period of 19.84 +/- 5.22 months (range, 13-34 months). In Group I, forty-five patients were treated with 3 K-wires and supported with a volar semi-circular cast for the first 3 weeks followed by a removable splint for a further 3 weeks. In Group II, forty-seven patients were treated with 2 K-wires and supported with a below-elbow circular cast for 6 weeks postoperatively. RESULTS: No significant difference in grip strength and DASH scores was found between the two groups. In clinical examination, significantly better functional results were determined in patients supported with a removable volar splint. At 6 weeks postoperatively, volar tilt, radial inclination, and radial length were significantly better in Group I compared to Group II (all p values). CONCLUSION: Tripod technique with 3 K-wires is a safe and reliable procedure to achieve stability and good radiological results. The use of a removable splint also improves the functional outcomes in the treatment of both intra-and extra-articular distal radius fractures.eninfo:eu-repo/semantics/openAccessDistal radius fracture; functional outcome; Kirschner wires; percutaneous pinning; radiological outcome; treatmentArticle10.5505/tjtes.2015.55938212119126259042732-s2.0-84924722380Q3197932WOS:000351545100007Q4