![]() ![]() To restore the radius’s height, using traction and counter-traction during the fluoroscopy. Step 1: Image intensifier with closed reduction The approach can be divided into 2 steps: The operations were performed under axillary block or general anesthesia. We excluded elderly patients who presented with severe medical comorbidity, severe comminuted osteoporotic fracture (AO23-C3), and cases of patients delayed >14 days, open fractures, complicated distal radius (stage II, III, IV of Fernandez classification), and surgical contraindications. This is a prospective study of 33 patients (5 males and 28 females, mean age: 54.64 years old) who received the Kapandji procedure for Colles’ fractures at the Hue University of Medicine and Pharmacy Hospital in Vietnam between February 2017 and May 2019. This study aimed to evaluate the functional and radiological results of Colles’ fractures treated with the Kapandji technique, thereby reinforcing the effectiveness of Kapandji’s technique with our experiences in the central region of Vietnam. In contrast, some authors demonstrated superior anatomical with maintaining reduction and functional outcomes in the group treated with the Kapandji technique, contradicting the findings of several cohort studies that percutaneous pinning only provided a slight improvement in the radiological and did not correlate with an improved functional outcome. According to the research, there is an ongoing debate about the Kapandji method’s efficacy. Although commonly utilized in Europe, the procedure is still relatively obscure in the United States and Asia. Kapandji described the intrafocal pinning technique for distal radius fractures for the first time in 1976, and it is a simple and successful treatment. Tendon rupture or irritation and screw penetration into the radiocarpal joint are the most common hardware-related problems, resulting in high operation rates. This approach has been linked to a couple of issues, most of which are hardware-related. On the other hand, the predominant indication for plating treatment is distal radius fractures with actual or predicted instability. Cast immobilization avoids surgery and complications, but the cast on maintaining distraction to repair the distal radius anatomy has a high failure rate. Nonoperative therapy is usually recommended for Colles’ fractures. Surgical treatment for distal radius fractures aims to restore hand and wrist function early by restoring articular surface congruity and alignment. IntroductionĬolles’ fracture is an extra-articular distal radius fracture with the following characteristics: (1) transverse radius fracture (2) 2.5 cm (0.98″) proximal to the radiocarpal joint (3) dorsal displacement and dorsal angulation, as well as the radial tilt. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Conclusion: The study emphasizes that the Kapandji technique in Colles’ fracture treatment is simple and possible to bring a satisfactory outcome and fast recovery. The average immediate postoperative radial length was 9.85 mm, the radial inclination was 20.64°, and the volar tilt was 9.2°. All patients achieved complete fracture union at 12 weeks postoperative. Results: 33 patients’ mean age is 54.64 ± 18.00 After 24 weeks of postoperative follow-up, 78.79% presented excellent, 21.21% good, and there are not any fair or poor cases on the functional outcome. The functional outcome of the patients was assessed by the demerit score system of Gartland and Werley, and the quality of reduction was elevated on radiographic as well at 3, 6, 12, and 24 weeks postoperative. Methods: This prospective study of 33 patients treated with three K-wires intra-focal fractures by the Kapandji procedure for Colles’ fractures at Hue University of Medicine and Pharmacy Hospital in Vietnam between February 2017 and May 2019. This study aims to access Colles’ fracture treatment by the Kapandji technique with our experiences. The Kapandji technique is one option for orthopedic surgeons to maintain reduced fractures, however, the effectiveness of this method is no clear consensus. The optimal management of Colles’ fracture is still controversial. * Corresponding author: Extra-articular fractures of the distal radius, known as Colles’ fractures, are very common. Le Hoang Nam Dang 1, Ba Luu Nguyen 1, Hong Phuc Le 2, Thanh Thao Nguyen 3 and Nghi Thanh Nhan Le 2 *ĭepartment of Anatomy-Surgical Training, University of Medicine and Pharmacy, Hue University, Hue, Vietnamĭepartment of Surgery, University of Medicine and Pharmacy, Hue University, Hue, Vietnamĭepartment of Radiology, University of Medicine and Pharmacy, Hue University, Hue, Vietnam ![]()
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