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

Abstract

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.