The Kapandji pinning: Technique of closed reduction for distal end radius fracture in adults

Abstract

: Fractures of the distal end of radius are characterized by varying degrees of comminution with volar or dorsal displacement, articular depression and angulation of major fragments with or without involvement of joints. The technique that has been discussed most frequently is the intrafocal (Kapandji) technique. Initially the technique was described using two pins for unstable extra-articular fractures in younger adults. The indications have since been expanded to include fractures with minimally displaced intra-articular fragments and use of third pin dorsoulnarly.: 40 adults with distal radius fracture admitted to Sanjay Gandhi institute of trauma and orthopaedics. All patients will be evaluated at 4, 6 weeks intervals and once at 3 months post operatively and final outcome assessments at 3 months. For functional evaluation, the modified Gartland and Werley demerit point system. The results were evaluated as per Sarmiento’s Modification of Lindstrom criteria. Restoration of anatomy was excellent in 71.8% (28.75) and 23.75% (9.5) had good anatomical outcome while 3.75% (1.5) had fair results. 40(n=sample size) were included in the study to analyse the articular angles. The mean value of radial inclination was 20.471 standard deviation 1.26, palmar tilt with mean value of 8.725 with standard deviation of 0.678 and radial length with mean of 10.625 with standard deviation of 1.169. The complication observed was 3 pintract infection. All patients achieved full wrist flexion and extension and forearm rotation. Mean time to achieve full wrist. ROM after immobilization was 2 weeks.