A prospective comparison between Kapandji and percutaneous extra-focal fxation in extra articular distal radius fractures

Mirhamidi, S.M and Bayat, F.M (2013) A prospective comparison between Kapandji and percutaneous extra-focal fxation in extra articular distal radius fractures. International Journal of Clinical and Experimental Medicine, 6 (2). pp. 133-139.

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Abstract

Introduction: there are multiple methods of distal radius fractures treatments. Of these percutaneous wire insertion has yielded popular acceptance. These percutaneous wire insertions can be done through many different ways with their own advantages and disadvantages. One of these methods is Kapandji method and because of its inherent stability in biomechanical examinations we suppose that we can begin the range of motion sooner than other methods with the hope of better outcome. Patients and methods: From 2010 to 2012 we studied 45 patients, of these 23 went under extra-focal technique and 22 went under Kapandji technique. After Kapandji we immobilized the limb in splint for 4 weeks and started partial motion thereafter and in the extra-focal group we immobilized them in for 6 weeks in long arm casts. Results: After 3 months and 6 months we assess the Gartland and Warley score and find 39% and 73% excellent and good result in extra-focal and 45% and 86% excellent and good result in Kapandji group after 3 and 6 months, respectively. Although there were about 0.22 mm collapse in both groups, here were no statistically significant differences in functional score or radiologic and anatomic parameters between groups. Conclusion: we have find Kapandji technique a suitable method of distal radius fracture fixation in cases with no articular involvement and we think it is better to immobilize the limb for at least 6 weeks after Kapandji fixation, in order to better control the pain

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