Role of Intrafocal Pinning in Distal Radial Metaphyseal Fractures in Children

Open Access

Abstract

Background: Distal radial metaphyseal fractures are among the most common orthopedic injuries in children, frequently resulting from falls during daily activities and play. While many fractures can be treated conservatively, displaced and unstable fractures often require surgical intervention. Intrafocal pinning is a minimally invasive technique that provides stable fixation while preserving soft tissue and growth potential. This study aimed to evaluate the radiological and clinical outcomes of intrafocal pinning in pediatric distal radial metaphyseal fractures. Methods & Materials: This prospective observational study was conducted in the Department of Orthopaedic Surgery at Sylhet MAG Osmani Medical College Hospital from July 2024 to June 2025. A total of 32 children below 16 years of age with displaced distal radial metaphyseal fractures were included. All patients were managed surgically using the intrafocal pinning technique. Results: The majority of patients were aged 6–10 years (43.8%), with a male predominance (68.8%). Falls while playing were the most common mode of injury (56.3%). Radiological union was achieved within 6 weeks in 37.5% of patients and within 7–8 weeks in 43.8%, with overall union within 8 weeks in most cases. Postoperative complications were minimal, with 78.2% of patients experiencing no complications. Pin tract infection occurred in 9.4%, while loss of reduction and wrist stiffness were observed in 6.2% each. Conclusion: Intrafocal pinning is a safe and effective treatment option for displaced distal radial metaphyseal fractures in children, providing satisfactory radiological union, good functional outcomes and a low complication rate.