[Intra-focal pinning of fractures of the distal end of the radius 10 years later].

Ten years after its introduction, the technique of intra-focal pinning of fractures of the lower extremity of the radius is now widely used. In view of the large number of operators, it is important to define a number of technical points: insertion of the pins without damaging the nerves or tendons, the number and type of pins, conduct of the operation, clinical and radiological criteria of success, post-operative course and removal of the pins. The author also reviews his experience concerning the frequency and the type of possible complications together with methods designed to avoid them and analyses the development of the indications for this procedure. When correctly performed, this technique, which is simple in principle, but which must be performed meticulously, provides considerable improvement in the results of these extremely common fractures due to the absence of immobilisation.