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. 2019 Mar;23(1):38-43.
doi: 10.1097/BTH.0000000000000221.

Outcomes Following Temporary Kapandji Pinning Technique and Distal Radial LCP Fixation for Intra-Articular Fractures of the Displaced Distal Radius

Puripun Jirangkul  1 , Surasak Jitprapaikulsarn  2 , Thawee Songpatanaslip  1
Affiliations

Outcomes Following Temporary Kapandji Pinning Technique and Distal Radial LCP Fixation for Intra-Articular Fractures of the Displaced Distal Radius

Puripun Jirangkul et al. Tech Hand Up Extrem Surg. 2019 Mar.

Abstract

In partially or completely displaced intra-articular fracture of the distal radius , achieving satisfactory reduction and maintenance of good reduction before applying the plate may be difficult. Especially to accomplish the anatomic volar tilt remains a problem. Typically, the Kapandji technique has been described to reduce and stabilize a large displaced and extra-articular fracture of the distal radius. We present the results of a prospective series using the temporary Kapandji technique for K-wire intrafocal fixation followed by rigid fixation with distal radial locking compression plate. The mean follow-up period totaled 12 months. A total of 57 patients were evaluated by radiographic and clinical review. The modified Mayo wrist score was used for postoperative patient evaluation. The clinical results on follow-up were good to excellent. Minimal joint stiffness and functional outcomes of the wrist and elbow were satisfactory. Statically significant differences were found between the preoperative and postoperative radiologic parameters. No skin infection due to K-wire insertion was noted, and the fracture healed completely in every case. This paper reports the results of 57 cases of intra-articular fractures of the distal radius treated by Kapandji wires as a reduction tool and definitive fixation by the application of a locked volar plate. It could be performed easily and reliably. K-wires were used to temporarily maintain reduction throughout the rigid fixation without further displacement in the follow-up clinic. The results proved appropriate, and the technique has merit, as it obviates the need for dorsal exposure in most cases.

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Conflict of interest statement

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Figures

FIGURE1
FIGURE1
A 61-year-old woman incurred a multifragmentary intra-articular fracture of the displaced distal radius.
FIGURE 2
FIGURE 2
After intrafocal pinning reduction and temporary K-wire fixation.
FIGURE 3
FIGURE 3
Rigid and stable fixation with a volar locked plate; K-wires were removed thereafter.
See this image and copyright information in PMC

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