[Osteosynthesis using intra-focal pins of anteriorly dislocated fractures of the inferior radial epiphysis].

The authors describe two anterior approaches to intra-focal pinning of distal radius fractures, with anterior tilt, Smith type and anterior margin type. They demonstrate that this fixation mode is as reliable as anterior plate osteosynthesis, with less anatomic cost. It allows immediate mobilization and affords good functional results. Performed with regular K. Wire or better with "Arum" Pins, this procedure was used in ten Smith's fractures, six anterior margin fractures, one two-margins fractures, and twelve multi-fragment fractures. Anterior pins are also used when excessive anterior reduction is feared in Colle's fractures. Secondary displacements are rare, except radius shortening which is possible with all types of fracture and treatment. As cast is prohibited, early rehabilitation provides good and excellent functional results. Complications are exceptional, occurring at the beginning of the authors' experience. Thanks to some precaution, such as the "open approach" and protecting the pin ends, this technique is simple, reliable, economic and effective.