The Factors of Reduction Loss in Kapandji Technique for Distal Radius Fractures

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Journal of the Korean Society for Surgery of the Hand 2004;9(4):250-256.
Published online December 1, 2004.

Joo-Hak Kim, Kwang-Hyun Lee, Kyu-Tae Hwang

원위 요골 골절에 대한 Kapandji 술식 후 정복 소실과 관련된 인자

김주학, 이광현, 황규태

Abstract

Background and Purpose: To analyze the radiological and clinical outcomes of surgical treatment of distal radius fractures with Kapandji technique and evaluate the risk factors of reduction loss after operation. Subjects and Methods: From January 2000 to December 2003, 71 patients (72 cases) of distal radius fractures were treated using K-wires with Kapandji technique. At the operation, the mean age of patients was 49.8 years(20~87) and mean follow up period was 17.3 months(5~23). There were 31 males and 40 females. Thirty five right wrist and thirty seven left wrist were involved. All of 72 cases were injured by slip down. Fracture patterns were classified with modified AO classification and radiological results with the degrees of radial inclination, radial length and volar tilt were analyzed. Also risk factors of reduction loss and clinical outcomes were evaluated. Results: There was statistically significant loss of reduction for the patients with modified AO type C3 cases and volar cortical comminuted fracture cases (p=0.03, p=0.01). Conclusion: The Kapandji technique for distal radius fracture is the one of favorable treatment options. But in this study, cases with modified AO type C3 and volar cortical comminuted fractures showed statistically significant reduction loss.

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