Intra focal osteosynthesis for distal radial fractures in emergency – Kapandji method

Abstract

Aim: to present the results of surgical treatment using Kapandji method in emergency. Material and methods: were analyzed the results of surgical treatment in patients with distal radius fractures treated in IEM during 2013-2015. Fractures were classified using Kapandji A. (1988) classification. Emergency surgical treatment was applied in 106 (50.23%) cases, of which 85 (80.18%) was performed Kapandji method. Follow-up results were assessed according W. Gartland and Werley L. score (2000). The study group consisted of 85 patients, of whom women - 52 (61.17%), men - 33 (38.83%). The mean age was 41 years. Results: according A. Kapandji classification in the study group were: type I - 2 cases, type II - 33 cases, type III - 3 cases, type IV - 13 cases, type V - 2 cases, type VI - 1 casetype VII - 1 case, type VIII - 9 cases, type IX - 15 cases, type X - 6 cases. K-wire ablation was performed at 35 days - 15 (17.6%) cases for I, II, IV types, at 40 days - 52 (61.2%) cases for II, V, VI types, at 45 days - 14 (16.5%) cases for III, VII, VIII, IX types and at 50 days - 4 (4 7%) cases for IX, X types. Follow-up results, according W. Gartland and L. Werley score, are positive in 84 (98.8%) cases of 85 patients. Excellent results (0-2 points) were 13 (15.3%) cases, good (3-8 points) - 41 (47.1%) cases, satisfactory (9-20 points) - 31 (36.5 %) cases. Conclusions: Intrafocal osteosynthesis with K-wire – Kapandji method constitutes a minimally invasive procedure favorable for treatment of distal radius fractures. The method is characterized by minimal intraoperative bleeding, low risk of postoperative complications and a good function and recovery.