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Closed Reduction versus Kapandji-Pinning for Extra-Articular Distal Radial Fractures

From the Department of Traumatology and Reconstructive Surgery, University Hospital Gasthuisberg, Leuven, Belgium

Correspondence: Prof. Dr D.V.C. Stoffelen. Department of Traumatology and Reconstructive Surgery, University Hospital Gasthuisberg, Herestraat 45, 3000 Leuven. Belgium. E-mail: Daniel.Stoffelen{at}uz.kuleuven.ac.be

In a randomized prospective trial, treatment of extra-articular distal radial fractures by closed reduction and plaster application was compared with Kapandji-pinning. Closed reduction and plaster cast was used in 50 patients, Kapandji-pinning in 48 patients. According to the Cooney score, good and excellent results were found in the closed reduction and plaster cast group in 74%, compared with 75% in the Kapandji-pinning group.

After measuring the maintenance of reduction as well as the functional outcome at 1 year follow-up, no statistically significant differences could be found between the two groups. We conclude that both techniques can be used in treating extra-articular fractures of the distal radius.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 1, 89-91 (1999)
DOI: 10.1016/S0266-7681(99)90045-1


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