The technique used in the treatment of seventy-five patients with
severely comminuted, often intra-articular fractures near the wrist was as
follows- Pins were inserted through the metacarpals and proximal part of
the ulna, reduction was done, and the pins were incorporated in a cast from
elbow to knuckles. This allowed movement of the fingers and the elbow. The
main complications - loss of radial length and pintract infection - are
avoided by attention to technical details. Of the patients with adequate
follow-up, 86 per cent had good or excellent results.