Role of Kapandji technique in percutaneous fixation of distal radius fractures

Background: The most common fracture in adults is distal radius fracture (DRF). The surgical treatment for distal radius fractures is Kapandji's surgical procedure that uses intrafocal pinning and provides unique fixation.Objective: The aim of the work was to evaluate distal radius fracture union and healing after Kapandji's technique of percutaneous fixing.Patients and Methods: We managed a group of twenty patients, aged from 18 years to 50 years of both sexes with distal radius fracture by K- wires using Kapandji technique at Zagazig University Hospitals and Al Farafra Hospital. The results have been studied regarding complications, time of recovery and rehabilitation.Results: Mean Patient-Rated Wrist Evaluation (PRWE) -Specific Function was 30.95, the mean PRWE-Pain subscore was 29.25, the mean PRWE-total score was 54.29. Radial inclination, Volar tilt, and radial height were statistically significant higher in the examined group following surgery. Only 40% of the studied group had superficial infection but no cases had tendon or NV injury or Sudek’s atrophy.Conclusion: It could be concluded that for totally displaced fractures, the Kapandji method of K-wiring is an effective means of reducing the fracture and keeping it reduced over time. By employing the Kapandji technique approach, a close reduction can be achieved with minimal effort