Study Between Kapandji Technique of Intrafocal Pinning and Extrafocal Pinning Technique for Extraarticular Fracture Distal End of Radius
Hrishikesh Kumar Bakode1*, Sanjeev Kumar1, Nilachakra Sahu2, Qamar E Alam Khan2, Sachidanand Kodge2 and Prashant Bhutani2
1,2 Department of Orthopaedic Hindu Rao Hospital and N.D.M.C. Medical College, Delhi, India.
*Corresponding Author: Dr. Sanjeev Kumar, Department of Orthopaedic Hindu Rao Hospital and NDMC Medical College and
Hindu Rao Hospital, Delhi, India.
DOI: https://doi.org/10.58624/SVOAOR.2024.04.064
Received: January 22, 2024 Published: February 16, 2024
Abstract
Introduction: Extraarticular fractures distal end of radius are the most common fractures treated accounting for one sixth of all fractures, for which percutaneous k-wire insertion has yielded popular acceptance. K-wire insertions can be done through many different ways. One of these methods is Kapandji intrafocal pinning method and other is percutaneous k-wire extrafocal pinning method. K- wire fixation is simple, minimally invasive, in expensive with minimum facilities showing significant improvements in dorsal angulation, radial length, radial inclination & range of movements.
Material and method: 52 patients are studied from 2020 to 2021, out of which 26 cases were treated by kapandji intrafocal pinning and another 26 cases were treated by percutaneous k-wire extrafocal pinning. The results were evaluated and compared both clinically and radiologically.
Result: Functional score due to Gartland and Werley score and range of movements was slight better in the Kapandji intrafocal pinning group both at the 3 months and 6 months after surgery. Volar tilt was preserved better in the Kapandji intrafocal pinning group. There was concern about loss of radial length due to some compression effect in Kapandji intrafocal pinning group, but both techniques saved the radial length properly.
Conclusion: We concluded that kapandji intrafocal pinning has got slight good score, also volar tilt was preserved slight better in kapandji pinning group, so one can choose this method for fixation of fracture distal end of radius to get satisfactory functional outcome and achieve good result.
Keywords: Extraarticular fracture distal end of radius, Kapandji intrafocal Pinning technique, Percutaneous k wire extrafocal pinning technique.
Citation: Bakode HK, Kumar S, Sahu N, Khan QEA, Kodge S, Bhutani P. Study Between Kapandji Technique of Intrafocal Pinning and Extrafocal Pinning Technique for Extraarticular Fracture Distal End of Radius. SVOA Orthopaedics 2024, 4:1, 07-16.