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HOME > J Musculoskelet Trauma > Volume 25(3); 2012 > Article
Original Article
Results of the Kapandji Procedure in the AO Type C Distal Radius Fracture in Patients over Age 60
Chul Hong Kim, M.D., Sung Soo Kim, M.D., Myung Jin Lee, M.D., Hyeon Jun Kim, M.D., Bo Kun Kim, M.D., Young Hoon Lim, M.D.
Journal of the Korean Fracture Society 2012;25(3):191-196.
DOI: https://doi.org/10.12671/jkfs.2012.25.3.191
Published online: July 16, 2012

Department of Orthopedic Surgery, Dong-A University College of Medicine, Busan, Korea.

Address reprint requests to: Hyeon Jun Kim, M.D. Department of Orthopedic Surgery, Dong-A Medical Center, Dong-A University College of Medicine, 26, Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. Tel: 82-51-240-5167, Fax: 82-51-254-6757, hyeonjun@dau.ac.kr
• Received: July 29, 2011   • Revised: August 24, 2011   • Accepted: March 12, 2012

Copyright © 2012 The Korean Fracture Society

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  • Purpose
    To evaluate the clinical and radiologic results of the Kapandji procedure in AO classification type C distal radius fracture patients over 60 years old.
  • Materials and Methods
    Twenty-one type C distal radius fracture patients over the age of 60 years who were treated with the Kapandji procedure from June 2004 to June 2009 in our hospital and had a post-operative follow-up period of more than 1 year were enrolled. The volar tilt, radial inclination, and radial length were measured for the radiographic analysis using the modified Lidstrom scoring system about post-operative reduction loss in every follow-up radiogram. The clinical result was assessed with a visual analogue scale (VAS) and Korean Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) score at the last follow-up.
  • Results
    The mean radiologic loss of volar tilt was 1.1° and the mean loss of radial length was 2.6 mm and the mean radial inclination loss was 2.7° compared with the immediate post-operative period and last follow-up period. The average VAS and DASH scores were 1.4 and 15.9.
  • Conclusion
    The radiologic results of closed reduction and percutaneous pinning using the Kapandji technique for distal radius AO type C fracture patients over 60 years of age was not satisfactory. Nevertheless, the clinical results were satisfactory.
  • Key words: Wrist, Distal radius fracture, AO type C, Old age, Kapandji technique
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Fig. 1
A 75-year-old female with unstable distal radius fracture was treated using a Kapandji technique.
(A, B) Pre-operative radiographs and computed tomography scan show AO classification type C1 distal radius fracture.
(C) Immediate postoperative radiographs show acceptable reduction and fixation.
(D) On last follow-up after removal of K-wires, radiographs show changes in the radiologic indices that reflect reduction loss (radial length, volar tilting and radial inclination are 3.0 mm, 4.3° and 1.9°, respectively).
jkfs-25-191-g001.jpg
Table 1
Radiological score
jkfs-25-191-i001.jpg
Table 2
Outcomes at last follow-up
jkfs-25-191-i002.jpg

VAS: Visual analogue scale. K-DASH: Korean Version of the Disabilities of the Arm, Shoulder and Hand Questionnaire. *Mean loss of each radiologic index between immediate post-operative period and last follow-up period.

Figure & Data

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        Results of the Kapandji Procedure in the AO Type C Distal Radius Fracture in Patients over Age 60
        J Korean Fract Soc. 2012;25(3):191-196.   Published online July 31, 2012
        DOI: https://doi.org/10.12671/jkfs.2012.25.3.191
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      Results of the Kapandji Procedure in the AO Type C Distal Radius Fracture in Patients over Age 60
      Image
      Fig. 1 A 75-year-old female with unstable distal radius fracture was treated using a Kapandji technique. (A, B) Pre-operative radiographs and computed tomography scan show AO classification type C1 distal radius fracture. (C) Immediate postoperative radiographs show acceptable reduction and fixation. (D) On last follow-up after removal of K-wires, radiographs show changes in the radiologic indices that reflect reduction loss (radial length, volar tilting and radial inclination are 3.0 mm, 4.3° and 1.9°, respectively).

      Fig. 1

      Results of the Kapandji Procedure in the AO Type C Distal Radius Fracture in Patients over Age 60

      Radiological score

      Outcomes at last follow-up

      VAS: Visual analogue scale. K-DASH: Korean Version of the Disabilities of the Arm, Shoulder and Hand Questionnaire. *Mean loss of each radiologic index between immediate post-operative period and last follow-up period.
      Table 1 Radiological score

      Table 2 Outcomes at last follow-up

      VAS: Visual analogue scale. K-DASH: Korean Version of the Disabilities of the Arm, Shoulder and Hand Questionnaire. *Mean loss of each radiologic index between immediate post-operative period and last follow-up period.

      Table 1

      Table 2

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