<abstract xmlns="http://www.w3.org/1999/xhtml">

<bold>Introduction</bold>: The technique of reduction and fixation of distal radial fractures consisting in the introduction of K-wires between bone fragments (“intrafocal technique”) was firstly described by French orthopedic surgeon dr. Adalbert Kapandji in 1967. This method allows a reduction of the fracture using the K-wire as a “lever”, which elevates displaced bone fragments and places it on site. The objective of this article is the presentation of the Kapandji technique and the results of the treatment of distal radial fractures operated on at the authors’ institution.
<bold>Materials and methods</bold>: A total of 187 patients, 151 women (81%) and 36 men (19%) aged on average 62 years were operated on using the Kapandji technique. The patients were followed up 6 months after surgery, according to standard protocol.
<bold>Results</bold>: The mean wrist total arch of motion (dorsal + palmar flexion) was 93°, grip strength of 17.2 kG and the quickDASH score 21 points. All these variables reflect the overall good function of the affected hand. Meaningful secondary displacements were noted in only 5 patients (2.6%). In general, the results obtained by the patients were satisfactory. The results of our study show that using the Kapandji technique for the treatment of distal radial fractures resulted in satisfactory clinical outcomes and relatively rare complications.
</abstract>

Introduction: The technique of reduction and fixation of distal radial fractures consisting in the introduction of K-wires between bone fragments (“intrafocal technique”) was firstly described by French orthopedic surgeon dr. Adalbert Kapandji in 1967. This method allows a reduction of the fracture using the K-wire as a “lever”, which elevates displaced bone fragments and places it on site. The objective of this article is the presentation of the Kapandji technique and the results of the treatment of distal radial fractures operated on at the authors’ institution.
Materials and methods: A total of 187 patients, 151 women (81%) and 36 men (19%) aged on average 62 years were operated on using the Kapandji technique. The patients were followed up 6 months after surgery, according to standard protocol.
Results: The mean wrist total arch of motion (dorsal + palmar flexion) was 93°, grip strength of 17.2 kG and the quickDASH score 21 points. All these variables reflect the overall good function of the affected hand. Meaningful secondary displacements were noted in only 5 patients (2.6%). In general, the results obtained by the patients were satisfactory. The results of our study show that using the Kapandji technique for the treatment of distal radial fractures resulted in satisfactory clinical outcomes and relatively rare complications.

Use of the Kapandji technique in the reduction and fixation of distal radial fractures

Pomeranian Medical University in Szczecin

Pomeranian Journal of Life Sciences

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Introduction: The technique of reduction and fixation of distal radial fractures consisting in the introduction of K-wires between bone fragments (“intrafocal...

Use of the Kapandji technique in the reduction and fixation of distal radial fractures

Published Online: Apr 20, 2023

Page range: 1 - 5

DOI: https://doi.org/10.21164/pomjlifesci.841

Keywords
distal radial fracture treatment, Kapandji technique, outcome measurements

© 2023 Andrzej Żyluk et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Use of the Kapandji technique in the reduction and fixation of distal radial fractures

Published Online: Apr 20, 2023

Page range: 1 - 5

DOI: https://doi.org/10.21164/pomjlifesci.841

Keywordsdistal radial fracture treatment, Kapandji technique, outcome measurements

© 2023 Andrzej Żyluk et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
distal radial fracture treatment, Kapandji technique, outcome measurements