Title: Résultats fonctionnels de l'embrochage intra focal de Kapandji dans Les fractures récentes de l'extrémité inferieure du radius.
Authors: Auteurs : Adjax Manya Tsheko ; Erick EFOLE ; H. LAKDIM : H. Abid, M. El Idrissi, A. El Mrini
Volume: 9
Issue: 5
Pages: 42-45
Publication Date: 2025/05/28
Abstract:
Introduction: Fractures of the distal end of the radius are the most frequent and well-documented in traumatology. It accounts for 40% of upper-limb traumas. Intrafocal Kapandji pinning is particularly attractive. We report on the functional results of patients treated for recent fractures of the lower extremity of the radius using the Kapandji technique. Patients and method: This was a one-year prospective descriptive study. We included all patients managed for a recent fracture of the lower extremity of the radius operated on using the Kapandji technique. After a minimum follow-up of 12 months, we assessed functional outcome. Results: During our study period, 27 patients met our criteria, including 16 men and 11 women. The mean age was 39 years [17 - 65]. The right side was affected in 20 cases (74%). The mechanism was indirect in 66.7% of cases. The mean radial inclination angle was 7.06° (0-10°) and the mean palmar inclination angle was - 5° [- 10° - +10°]. Type C fractures were more frequent. After a minimum follow-up of 12 months, the mean Quick Dash score was 30.5, and the Gartland and Werley score was good to excellent in 83% of cases. Conclusion: Fractures of the lower end of the radius are becoming increasingly common. Our results confirm that Kapandji intrafocal pinning is an effective, easily reproducible technique with good anatomical and functional results.