Role of Kapandji technique in percutaneous fixation of distal radius fractures

Abstract

Background: The most common fracture in adults is distal radius fracture (DRF). The surgical treatment for distal radius fractures is Kapandji's surgical procedure that uses intrafocal pinning and provides unique fixation.
Objective: The aim of the work was to evaluate distal radius fracture union and healing after Kapandji's technique of percutaneous fixing.
Patients and Methods: We managed a group of twenty patients, aged from 18 years to 50 years of both sexes with distal radius fracture by K- wires using Kapandji technique at Zagazig University Hospitals and Al Farafra Hospital. The results have been studied regarding complications, time of recovery and rehabilitation.
Results: Mean Patient-Rated Wrist Evaluation (PRWE) -Specific Function was 30.95, the mean PRWE-Pain subscore was 29.25, the mean PRWE-total score was 54.29. Radial inclination, Volar tilt, and radial height were statistically significant higher in the examined group following surgery. Only 40% of the studied group had superficial infection but no cases had tendon or NV injury or Sudek’s atrophy.
Conclusion: It could be concluded that for totally displaced fractures, the Kapandji method of K-wiring is an effective means of reducing the fracture and keeping it reduced over time. By employing the Kapandji technique approach, a close reduction can be achieved with minimal effort.