Experiences of Kapandji's method(intra-focal pinning) for fractures of the lower extremities of the radius.

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Kapandji's intra-focal pinning for fractures of the lower end of the radius is now widely used in the french-speaking countries. The main advantage of this method is the possibility of starting immediately rehabilitation and normal use of the hand. Following closed reduction, the epiphysis is fixed steady with two or three Kirschner wires, sliding along its radial and its dorsal aspects, entrering the radius at the fracture site and transfixing the bone cortex above. Postoperative immobilisation such as plaster splint is unnecessary, and wrist re-education can be begun on the first day post-op.From February 1987 to May 1988, we treated eight fractures of the lower end of the radius by Kapandji's method, and reviewed six cases over three months after their treatment. There were five females and one male. Five out of six were intra-articular fractures. The mean age was 70.8 years with a range from 57 to 77 years. According to Gartland's demerit point system, three were rated as excellent and three good. Present findings indicate that functional recovery is rapid and socio-economically gratifying when compared with conventional treatments.
西日本整形・災害外科学会の論文