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Archives of Orthopaedic and Trauma Surgery

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01-01-2017 | Trauma Surgery

Treatment of physeal fractures of the distal radius by volar intrafocal Kapandji method: surgical technique

Authors: Guy Rubin, Hagay Orbach, Avi Chezar, Nimrod Rozen

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2017

Abstract

Background

Distal radial physeal fractures with volar displacement are rare. Several methods of operative treatment include volar plate without inserting distal screws, percutaneous technique using two anterior skin incisions and reversed Kapandji technique with pins introduced through a posterior approach and locked at the anterior cortex of the fracture.

Methods

We report three cases along with a literature review of the surgical techniques described in the past and a novel surgical technique for this uncommon fracture termed “Volar Kapandji”.

Results

All patients had anatomic reduction at the last follow-up radiography, and all patients had a full range of motion and VAS 0 at the last follow-up. No complications were recorded.

Conclusions

This case study presents the minimally invasive option for treating rare cases of physeal distal radius fractures with volar displacement.

Level of evidence

Peterson HA, Madhok R, Benson JT, Ilstrup DM, Melton LJ 3rd (1994) Physeal fractures: part 1. Epidemiology in Olmsted County, Minnesota, 1979-1988. J Pediatr Orthop 14(4):423–430CrossRefPubMed

Do TT, Strub WM, Foad SL, Mehlman CT, Crawford AH (2003) Reduction versus remodeling in pediatric distal forearm fractures: a preliminary cost analysis. J Pediatr Orthop B 12(2):109–115PubMed

Schoenecker JG, Bae DS (2015) Fractures of the Distal Radius and Ulna. In: In Rockwood and Wilkins’ fractures in children. Eighth edition. edn. Wolters Kluwer Health, Philadelphia, 356

Wilkins KE, Beaty JH (1994) Operative management of upper extremity fractures in children. American Academy of Orthopaedic Surgeons monograph series, American Academy of Orthopaedic Surgeons, Rosemont

Tredwell SJ, Van Peteghem K, Clough M (1984) Pattern of forearm fractures in children. J Pediatr Orthop 4(5):604–608CrossRefPubMed

Cannata G, De Maio F, Mancini F, Ippolito E (2003) Physeal fractures of the distal radius and ulna: long-term prognosis. J Orthop Trauma 17(3):172–179CrossRefPubMed

Seriat-Gautier B, Jouve JL (1988) Avulsion fractures of the distal part of the radius with anterior displacement in children. Chir Pediatr 29(5):265–268PubMed

Hoel G, Kapandji AI (1995) Osteosynthesis using intra-focal pins of anteriorly dislocated fractures of the inferior radial epiphysis. Ann Chir Main Memb Super 14(3):142–156CrossRefPubMed

Guichet JM, Moller CC, Dautel G, Lascombes P (1997) A modified Kapandji procedure for Smith’s fracture in children. J Bone Joint Surg Br 79(5):734–737CrossRefPubMed

10.

Rubin G, Chezar A, Rinott M, Bor N, Rozen N (2013) Treatment of intra-articular distal radius fractures by the volar intrafocal Kapandji method: a case series. Tech Hand Up Extrem Surg 17(2):91–98CrossRefPubMed

11.

Slutsky DJ (2002) Wrist arthroscopy through a volar radial portal. Arthroscopy 18(6):624–630CrossRefPubMed

12.

Rees MJ, Taylor GI (1986) A simplified lead oxide cadaver injection technique. Plast Reconstr Surg 77(1):141–145CrossRefPubMed

13.

DaSilva MF, Moore DC, Weiss AP, Akelman E, Sikirica M (1996) Anatomy of the palmar cutaneous branch of the median nerve: clinical significance. J Hand Surg Am 21(4):639–643CrossRefPubMed

14.

Martin CH, Seiler JG III, Lesesne JS (1996) The cutaneous innervation of the palm: an anatomic study of the ulnar and median nerves. J Hand Surg Am 21(4):634–638CrossRefPubMed

15.

Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M (2007) Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trauma 21(5):316–322CrossRefPubMed

16.

Jupiter JB, Marent-Huber M (2010) Operative management of distal radial fractures with 2.4-millimeter locking plates: a multicenter prospective case series. Surgical technique. J Bone Joint Surg Am 92(Suppl 1 Pt 1):96–106CrossRefPubMed

17.

Slutsky DJ (2004) Clinical applications of volar portals in wrist arthroscopy. Tech Hand Up Extrem Surg 8(4):229–238CrossRefPubMed

Title: Treatment of physeal fractures of the distal radius by volar intrafocal Kapandji method: surgical technique
Authors: Guy Rubin
Hagay Orbach
Avi Chezar
Nimrod Rozen
Publication date: 01-01-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-016-2592-8

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Treatment of physeal fractures of the distal radius by volar intrafocal Kapandji method: surgical technique

Abstract

Background

Methods

Results

Conclusions

Level of evidence

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Abstract

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Erratum to: Corrective osteotomy assisted by computer simulation for a malunited intra-articular fracture of the distal humerus: two case reports