The unstable distal radial fracture one year post Kapandji intrafocal pinning

Brady, O.; Rice, John Jeremy; Nicholson, P.; Kelly, Eamon; O’Rourke, S. K.

doi:10.1016/s0020-1383(99)00075-3

Cited by 32 publications

(24 citation statements)

References 7 publications

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“…The dorsal comminution and the subsequent loss of dorsal buttress was postulated to be the cause of recurrence of dorsal angular deformity. 15 McQueen and Caspers, reported significant disability in a group of patients in which fracture healing with 12 degrees dorsal angulation was combined with 2 mm radial shortening. We noted in our series that though there was a tendency for a decrease in the correction with follow-up, it was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…There is some loss of correction at the time of removal of K wires and then after. Brady et al 15 reported on a series of 20 patients at one year follow up and concluded that satisfactory clinical result can be achieved inspite of statistically significant loss of dorsal angulation on radiographs. The dorsal comminution and the subsequent loss of dorsal buttress was postulated to be the cause of recurrence of dorsal angular deformity.…”

Section: Discussionmentioning

confidence: 99%

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Prospective study of treatment of extraarticular fractures of distal end radius by cross K wire fixation and cast immobilisation and its comparison with Kapandji's method of intrafocal pinning anatomically and functionally

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prospective study of treatment of extraarticular fractures of distal end radius by cross K wire fixation and cast immobilisation and its comparison with Kapandji's method of intrafocal pinning anatomically and functionally

et al. 2015

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“…This wrongful consideration is responsible of precarious normalization of fractures, and the UV standard aspect should be considered by the contra lateral side, as individual morphologic reference for correction. Until consolidation of the fracture fixed with pins, changes could occur during the time of consolidation [9,19], therefore different parameters should not be considered postoperatively [22,24,25], but certainly after removal of the pins. Effectively, Brady O et al [24] have reported that between the time of wire removal and final review, there was significant recurrence of dorsal angulations, but no significant radial shortening on radiographs.…”

Section: Discussionmentioning

confidence: 99%

Radiographic Study of the Correction of Radial Length in Wrist Fracture: The Ulnar Variance Compared With the Controlateral Side in 95 Cases Treated With Intra Focal Pinning

Hassan¹

2018

BJSTR

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IntroductionDistal radius fractures are one of the most common types of fractures, it accounts up to 25% of fractures in children [1] and up to 18% of fractures in the over 65 age group [2,3,4].The treatment depend on several factors of stability: the radial length, the metaphysical comminution and the age of patients. But, whatever is the type of treatment (conservative or surgical), it relies on standard values of palmar tilt, radial inclination and ulnar variance to evaluate the good correction of fracture. While palmar tilt and radial inclination have well defined values, the UV miss a specific value to lay on for correction. Three aspects of UV are known: neutral, positive and negative, with different incidences in normal population where the neutral aspect is the most frequent and therefore it is considered as the standard aspect of assessment during surgery. This UV is also considered as the most consistent predictor of radiographic outcome between the other parameters of reduction (palmar tilt and radial inclination) [5][6][7][8][9], therefore the relevance of procedures of reduction, except the internal fixation, remained uncertain due to the imprecision to restore the initial

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“…Brady et al [3] published the results of 36 patients with unstable, dorsally displaced radius fractures treated with intrafocal K-wire fixation. After an average follow-up of 11.3 months, there was one significant loss of position in terms of volar tilt, but no radial shortening.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome Following Fixed-Angle Volar Plating or Intrafocal K-Wire Fixation for Extraarticular Fractures of the Distal Part of the Radius

Jubel

Prokop²,

Andermahr³

et al. 2005

Eur J Trauma

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Ab stractPurpose: The objective of this retrospective study was to compare the results of two operative techniques used for the treatment of distal radius fractures classified as AO type A3. Patients and Methods: Patients were treated with either fixed-angle volar plates or intrafocal Kirschner wires (K-wires) using a Kapandji-like technique. The functional results were determined with the Gartland & Werley Score as well as the DASH Score after an average follow-up of 28 months. Results: 55 patients were included in the study. Of these, 33 were female and 22 male, with an average age of 59 years. In patients < 60 years, the Gartland Score was 1.4 points in the fixed-angle volar plate group, and 4.6 points in the Kapandji group. In patients ≥ 60 years, no significant difference between the therapy groups could be ascertained. The DASH Score measured 17 points in each group. In all cases, a satisfactory reduction was obtained. The Kapandji group experienced significantly more loss of reduction position at follow-up in terms of volar tilt and radioulnar inclination than the fixed-angle volar plate group. Conclusion: These results show that intrafocal K-wire fixation in older patients is a suitable method to attain and hold sufficient bony reduction. However, younger patients achieve better radiologic and functional results when treated with open reduction using the 3.5-mm LCP fixed-angle volar plate. Key Words Radius fracture · K-wire · Fixed-angle plate Eur J Trau ma 2005;31:44-50Introduction Type A3 fractures of the distal radius by the AO classification [18] are extraarticular fractures characterized by a comminuted zone of the metaphysis. Reduction and stable fixation of the fracture are complicated by this zone of dorsal comminution, and are even more difficult when a dorsal cortical defect exists [6]. The frequency of this fracture type is approximately 30% of all distal radius fractures [15]. As has previously been shown, simple cast immobilization in such fractures frequently leads to a secondary loss of reduction [27]. Fractures allowed to heal in a dorsally displaced malposition are related to unsatisfactory functional results [16]. The restoration of volar tilt and the avoidance of relative radial shortening (positive ulnar variance) are especially meaningful for the recovery of unrestricted wrist function [1,16].Intrafocal Kirscher wire (K-wire) fixation with the Kapandji technique [12] is a minimally invasive procedure. It has been shown that this method, used in the cases of unstable, dorsally displaced distal radius frac-

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The unstable distal radial fracture one year post Kapandji intrafocal pinning

Cited by 32 publications

References 7 publications

Prospective study of treatment of extraarticular fractures of distal end radius by cross K wire fixation and cast immobilisation and its comparison with Kapandji's method of intrafocal pinning anatomically and functionally

Prospective study of treatment of extraarticular fractures of distal end radius by cross K wire fixation and cast immobilisation and its comparison with Kapandji's method of intrafocal pinning anatomically and functionally

Radiographic Study of the Correction of Radial Length in Wrist Fracture: The Ulnar Variance Compared With the Controlateral Side in 95 Cases Treated With Intra Focal Pinning

Functional Outcome Following Fixed-Angle Volar Plating or Intrafocal K-Wire Fixation for Extraarticular Fractures of the Distal Part of the Radius

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