The Kapandji Technique of Closed Reduction Using Sommer - Pins in the Treatment of Completely Dislocated Fractures of the Distal Radius in Children

Kamiloski, Marjan; Todorovik, Lazar; Memeti, Shaban; Jovcevski, Lazo; Shuperliska, Slavica; Aleksovski, Zlatko

doi:10.3889/oamjms.2018.073

Cited by 9 publications

(7 citation statements)

References 8 publications

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“…The functional outcome was comparable with the study done by Kamiloski et al 21 At final follow up in this study, patients did not complain of pain except two cases, 26 patients were satisfied but two patients were moderately satisfied as per modified Mayo wrist score. Among two patients one had associated open fracture at ulna and supracondylar fracture, and another had communited fracture of radius.…”

Section: Discussionsupporting

confidence: 89%

Kirschner’s Wires Fixation of Unstable Distal Radius Fractures in Children with the Kapandji Technique

Shrestha

et al. 2021

J. Nepalgunj Med. College

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Introduction: Unstable distal radius fractures in children have more tendencies to get displaced with conservative management resulting into deformity. This Kapandji technique of K-wire fixation is on rise to reduce and maintain these fractures in recent days. Aims: The aim of this study was to evaluate the effectiveness of the K-wires fixation in unstable distal radius fracture with Kapandji techniques. Methods: A cross-sectional observational study was conducted in Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke in unstable distal radius fracture in children with K-wires fixation using Kapandji method. Results: Twenty eight unstable distal radius fractures in children between 6 to 14 years of age were treated with one intrafocal K-wire and one or two extra focal K-wires to augment fixation. Immobilization of forearm with above elbow slab/cast for four to six weeks was enforced. K-wires were removed between four to six weeks of operation depending upon the union and followed prospectively for four months. The mean age of patients presented was 8.57± 1.79 years. This technique brought near anatomical reduction in all fractures. There was no reduction loss or remanipulation in any case. All fractures achieved union and functional outcome was excellent in 24 cases based on Modified Mayo Wrist Score. There was fewer complications like pin tract infection. Conclusion: This Kapandji technique of K-wire fixation, leverage reduction method, being an additional tool helps to achieve near anatomical alignment, and maintain reduction throughout the duration of healing. So it is an advantageous technique.

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Section: Discussionsupporting

confidence: 89%

Kirschner’s Wires Fixation of Unstable Distal Radius Fractures in Children with the Kapandji Technique

Shrestha

et al. 2021

J. Nepalgunj Med. College

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“…These are the excessive displacement of the fracture during the presentation and insufficient correction after the reduction maneuver. Several authors have identified risk factors for distal radius fractures, which can be categorized into two categories: primary and secondary causes [15]. The primary causes include being over 9 years of age, a complete displacement at the baseline, fractures of greater than 50% displacement, greater than 20° angles, oblique fracture lines, comminuted fractures, dorsal bayonet fractures, and ipsilateral distal ulna fractures [15].…”

Section: Resultsmentioning

confidence: 99%

Determination of risk factors for instability in pediatric distal radius fractures

Zhamilov¹,

Akar²

2023

j-ebr

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Distal radius fractures (DRF) are one of the most common injuries in childhood. DRF most commonly occurs as a result of low-energy falls onto an outstretched hand, resulting in axial loading of the metaphysodiaphyseal junction of skeletally immature long bones. One of the most common complications after the closed reduction and casting of displaced DRF is fracture relocation or loss of reduction. The aim of our study is to investigate the characteristics of these fractures by retrospectively scanning the patients who require surgical intervention in patients with distal radius fractures. Methods: Between January 2018 and January 2021, patients aged 1-16 years with a diagnosis of distal radius fracture who were treated in our hospital were included in this study. The preoperative X-rays of the patients were evaluated and the fractures were classified according to their displacement ratio. The reduction quality was rated according to the study of Alemdaroglu criteria. The distance of the fracture line to the joint line, the presence of ipsilateral ulna fracture, the angle of the fracture, and whether it was fragmented were determined. Patients with and without surgery were compared. Results: 206 patients who met the inclusion criteria were included in the study. A significant difference was found between the non-operated and operated groups in terms of age by Student's t-test (p=0.032). The distance from the fracture line of the surgical group to the joint line was measured to be 43.8 mm on average. A significant difference was found between the non-operated and operated groups in terms of the joint line distance of the fracture line by Student's t-test (p=0.010). There was a significant difference between the groups according to the Alemdaroğlu criteria and Mania criteria (p=0.001). Conclusions: Our results show that complete displacement of distal radius fracture and non-anatomical reduction are important risk factors for re-displacement and therefore emerge as surgical indications in pediatric patients. Our study also emphasizes that surgical treatment may be required in older pediatric patients when the ulna fracture coexistence and the joint distance of the fracture line increases.

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“…The benefits of using the minimally invasive surgical treatment of closed reduction using Sommer -pins with Kapandji technique in 48 completely dislocated fractures of the distal radius after ineffective non-surgical treatment of children aged six to 14 years during the period between 2012 and 2017 are evaluated (Kamiloski et al, 2018). The anatomic reduction is easily achieved with this technique in every case.…”

Section: Discussionmentioning

confidence: 99%

Distal Radius Fractures in Childhood - Our Five-Year Experience

Staykov¹,

Kolarov²

2022

IJMSR

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The most common fractures in children are those of the distal radius. There are relatively scanty publications devoted to this specific pathology in childhood. The timely diagnosis and proper treatment of the distal radius fractures are of undoubted significance. The purpose of the present communication is to share our recent practical experience with the management of the distal radius fractures in children. 2. Methodology. During the period between January 1, 2017 and December 31, 2021, 34 children at an average age of 10,85±3,00 years (between two and 17) with wrist joint injuries resulting in distal radius fractures were examined in the Clinic of Orthopedics and Traumatology, St. Anna Multiprofile Hospital of Varna. There were 21 boys at an average age of 11,43±3,39 years (between two and 17) and 13 girls at an average age of 9,92±2,38 years (between six and 12). Diagnosis was based on clinical and x-ray examinations. Therapeutic behavior included operative treatment, administration of analgesic means, immobilization, and, in some cases, subsequent rehabilitation. Surgery was accomplished under general anaesthesia in most cases. 3. Results. Mean age did not differ statistically reliably between both groups (t=1,524; p>0,05). The left radius fractures (13 in boys and 11 in girls) were statistically significantly more common than right radius ones (eight in boys and two in girls) (t=3,726; p<0,001). Most commonly, a closed reduction technique with or without internal fixation of the radius and ulna was made use of (in 15 boys and in seven girls) followed by reposition and fixation with one Kirschner wire (in one girl), with two Kirschner wires (in five boys and one girl), or with three ones (in five boys and two girls). An open reduction technique was applied in six boys and in six girls followed by reposition and fixation with one Kirschner wire (in one girl), with two Kirschner wires (in two boys and two girls), or with three ones (in two boys). It should be noted that internal fixation was not carried out in two boys and three girls. Control x-ray examination was performed in all the children. Cast immobilization for a period between 28 and 35 days, most often, for one month, was obligatorily done. Subsequently, Kirschner wires were removed in eight boys and in four girls. One complication was observed in a six-year old girl. It was caused by mechanical damage of the left wrist joint following the implantation of the internal orthopedic devices, i.e. three Kirschner wires. They were removed two months after the operation. Complete healing was achieved in all the children. 4. Conclusions. Based on these results of ours, the conclusion can be drawn that these surgical procedures along with the precise diagnosis and immobilization have proven to be safe and effective in the children with distal radius fractures. Obviously, modern strategies to successfully prevent the fractures in children should be developed.

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The Kapandji Technique of Closed Reduction Using Sommer - Pins in the Treatment of Completely Dislocated Fractures of the Distal Radius in Children

Cited by 9 publications

References 8 publications

Kirschner’s Wires Fixation of Unstable Distal Radius Fractures in Children with the Kapandji Technique

Kirschner’s Wires Fixation of Unstable Distal Radius Fractures in Children with the Kapandji Technique

Determination of risk factors for instability in pediatric distal radius fractures

Distal Radius Fractures in Childhood - Our Five-Year Experience

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