APPLICATION OF THE KAPANDJI PINNING METHOD FOR CLOSEDREDUCTION OF ADULT DISTAL END RADIUS FRACTURES

Abstract

Background: Fractures of distal end radius are characterized by varying comminution with angulation of major
fragments, articular depression and comminution with volar or dorsal displacement with/without joint involvements. Most
frequently involved technique is intrafocal (Kapandji) technique described using two pins for unstable extra-articular
fractures in younger adults. It can also be used to include fractures with minimally displaced intra-articular fragments and
use of third pin dorsoulnarly
Aim: The present study was aimed to assess the application of the Kapandji pinning method for closed reduction of adult
distal end radius fractures.
Methods: The study assessed 80 adults (Male and Female) having distal radius fracture admitted to the Institute within
the defined study period. All subjects were assessed at 4 and 6 weeks followed by once at 3 months postoperative and
final outcomes were assessed at 6 months. For functional assessment, modified Gartland and Werley demerit point system
was used. Results were assessed following Sarmiento’s Modification of Lindstrom criteria.
Result: The study results showed that anatomy restoration was excellent, good, and fair in 86.56%, 9.38%, and 4.06%
subjects respectively. All 80 subjects were assessed for articular angles. Mean value of radicular inclination, palmar tilt,
and radial length was 20.45±1.24, 8.74±0.65, and 10.64±1.14 respectively. The complication seen was pin tract infection
in 6 subjects. Full wrist flexion and extension and forearm rotation was seen in all the subjects. ROM was assessed at 2
weeks after immobilization.
Conclusion: The present study concludes that distal end radius fracture is usually seen from low velocity falls as in
osteopenic subjects and majority of these fractures are extra-articular displaced fractures typical of Colles’ fractures. The
use of Kapandji pinning technique for management of these fractures is a highly efficacious approach with the outcomes
being similar to the standard methods including percutaneous pinning and closed reduction.