La technique de Kapandji et son évolution dans le traitement des fractures de l'extrémité inférieure du radius

Peyroux, L.-M.; Dunaud, J.-L.; Caron, Michel; Slamia, I. Ben; Kharrat, M.

doi:10.1016/s0753-9053(87)80023-6

Cited by 37 publications

(5 citation statements)

References 7 publications

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“…Another of the possible complications from Kapandji's technique is that anterior displacement of the distal fragment of the fracture may occur through exacerbated reduction 5 , 17 , 18 , 19 . Associated use of the technique of intrafocal fixation with transosseous wires attempts to improve the stability of the fixation, thereby avoiding this type of problem.…”

Section: Discussionmentioning

confidence: 99%

Fixation of Fractures of the Distal Extremity of the Radius Using the Modified Kapandji Technique: Evaluation of the Radiological Results

Neto

Lhamby

2011

Revista Brasileira de Ortopedia (English Edition)

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To demonstrate a simple and efficacious option for treating fractures of the distal extremity of the radius using Kirschner wires. Methods: Between September 2008 and April 2009, 48 patients with fractures of the distal extremity of the radius, classified as A3 according to the AO classification, were treated surgically using a modification of the Kapandji technique. Results: Out of the 48 wrists operated, 42 (87.5%) presented postoperative measurements within the acceptable limits. We used the parameters of McQuenn and Caspers who considered that the radial angulation should be wider than 19° and the volar angulation should be narrower than -12°. All the postoperative volar inclination measurements were narrower than -3°. The mean preoperative radial inclination was 13.14° and the mean postoperative value was 21.18°. The mean preoperative volar inclination was 28.75° and the mean postoperative value was 3.31°. The mean preoperative radial height was 5.25 mm and the mean postoperative value was 9.48 mm. Conclusion: The technique described here had excellent stability for treating fractures of the distal extremity of the radius classified as A3. It was easy to implement and minimally invasive, with minimal surgical complications, and it was inexpensive.

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Section: Discussionmentioning

confidence: 99%

Fixation of Fractures of the Distal Extremity of the Radius Using the Modified Kapandji Technique: Evaluation of the Radiological Results

Neto

Lhamby

2011

Revista Brasileira de Ortopedia (English Edition)

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“…6). Peyroux et al reported 5% of over-reduction with increased volar tilt; they recommended overcoming this problem by doing gentle reduction of the initial displacement and directing the dorsal pins not more than 45°a long the axis of the radius [23].…”

Section: Discussionmentioning

confidence: 99%

“…Epinette et al, however, stated that complications associated with "negative" results were only seen in 7% of cases [14]. Pin migration was encountered in 2.5-7% of cases [14,16,17,23], and was correlated with the presence of osteoporosis [9,22]. Dorsal migration necessitated premature removal because of skin irritation and perforation, while volar migration required a volar approach for removal [9].…”

Section: Discussionmentioning

confidence: 99%

Intrafocal Pinning for Dorsally Displaced Distal Radius Fractures

Abdallah¹,

Haidar²,

Hajj³

2017

LMJ

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Intrafocal pinning of dorsally displaced distal radius fractures, as described by Kapandji in 1976, was very popular during the last two decades of the last century. This method has clear economic advantages over other modern methods of internal fixation such as locking plates. The authors aim at presenting the results of a series of 56 patients operated for distal radius fractures between 1994 and 1999. All patients were clinically reviewed and radiographically assessed at a mean of 16 months follow-up. The authors believe that intrafocal pinning remains a valuable method for the treatment of dorsally displaced extra-articular distal radius fractures; however, it should be used with caution in presence of epiphyseal and dorsal metaphyseal comminution. Keywords : distal radius fracture; intrafocal pinning; Kapandji technique RÉSUMÉ • L'embrochage intrafocal des fractures de l'extré

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“…La mtthode originelle, dont Epinette [1], Peyroux [5] et Nonnenmacher [4] ont dtj~ rapport6 les rtsultats, comprend une mobilisation prtcoce qui a volontairement 6t6 modifite pour notre 6tude, afin d'tvaluer son inttr~t propre.…”

Section: O N C L U S I O Nunclassified

Influence de la mobilisation précoce après embrochage intra-focal selon Kapandji dans les fractures de l'extrémité inférieure du radius

Milliez

Dallaserra

Defives

et al. 1992

International Orthopaedics

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We have undertaken a prospective study of the management of fractures of the distal radius using three Kirschner wires as advocated by Kapandji. 30 were immobilised and the other 30 allowed early movement. Complications involving pin migration and rupture of extensor tendons occurred only in the latter group, and one patient in the other group developed Reflex Sympathetic Dystrophy. At three months there was no statistically significant difference in movement or level of pain between the two groups. Grip was better after two months in those mobilised early. The final radiographic appearances were similar in both groups. Early mobilisation should only be used in patients who have good quality bone and will carefully observe instructions after operation.

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La technique de Kapandji et son évolution dans le traitement des fractures de l'extrémité inférieure du radius

Cited by 37 publications

References 7 publications

Fixation of Fractures of the Distal Extremity of the Radius Using the Modified Kapandji Technique: Evaluation of the Radiological Results

Fixation of Fractures of the Distal Extremity of the Radius Using the Modified Kapandji Technique: Evaluation of the Radiological Results

Intrafocal Pinning for Dorsally Displaced Distal Radius Fractures

Influence de la mobilisation précoce après embrochage intra-focal selon Kapandji dans les fractures de l'extrémité inférieure du radius

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