Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fractures

Abstract Purpose Achieving and maintaining an optimal reduction in partially or fully displaced intra-articular fractures, specifically Type C distal radius fractures, can present challenges. This study aims to retrospectively evaluate and summarize a method utilizing multi-directional temporary Kap...

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Main Authors: Wei Zhao, Kun-xiu Song, Yong-tao Liu, Bing-dong Ma
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-024-02725-4
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author Wei Zhao
Kun-xiu Song
Yong-tao Liu
Bing-dong Ma
author_facet Wei Zhao
Kun-xiu Song
Yong-tao Liu
Bing-dong Ma
author_sort Wei Zhao
collection DOAJ
description Abstract Purpose Achieving and maintaining an optimal reduction in partially or fully displaced intra-articular fractures, specifically Type C distal radius fractures, can present challenges. This study aims to retrospectively evaluate and summarize a method utilizing multi-directional temporary Kapandji technique in combination with the volar locking plate fixation for these fractures. Method The study involved 15 patients diagnosed with Type C distal radius fractures who underwent surgery between January 2024 and April 2024. The procedure incorporated a multi-directional temporary Kapandji technique, followed by stable osteosynthesis using a volar locking plate system. The functional outcomes were assessed after 4 (2–6) months of follow-up using the modified Mayo wrist scoring system (MMWS). The MMWS is a rating system used to evaluate wrist function and pain, including pain, motion, grip strength. Results All the patients incision healed within 2 weeks. All the fractures had uneventful union within 8–12 weeks. Based on the modified Mayo wrist scoring (MMWS) system, most patients showed good to excellent functional recovery. Conclusion This reduction method proved to be both simple and replicable, enabling satisfactory alignment with minimal force. The volar locking plate system provided rigid and stable fixation.
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spelling doaj-art-c1ed4e7fb7474cb8bbb0ae746eee4dbf2025-08-20T01:59:48ZengBMCBMC Surgery1471-24822024-12-012411710.1186/s12893-024-02725-4Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fracturesWei Zhao0Kun-xiu Song1Yong-tao Liu2Bing-dong Ma3Department of Hand (Micro) Surgery, Binzhou Medical University HospitalDepartment of Hand (Micro) Surgery, Binzhou Medical University HospitalDepartment of Hand (Micro) Surgery, Binzhou Medical University HospitalDepartment of Hand (Micro) Surgery, Binzhou Medical University HospitalAbstract Purpose Achieving and maintaining an optimal reduction in partially or fully displaced intra-articular fractures, specifically Type C distal radius fractures, can present challenges. This study aims to retrospectively evaluate and summarize a method utilizing multi-directional temporary Kapandji technique in combination with the volar locking plate fixation for these fractures. Method The study involved 15 patients diagnosed with Type C distal radius fractures who underwent surgery between January 2024 and April 2024. The procedure incorporated a multi-directional temporary Kapandji technique, followed by stable osteosynthesis using a volar locking plate system. The functional outcomes were assessed after 4 (2–6) months of follow-up using the modified Mayo wrist scoring system (MMWS). The MMWS is a rating system used to evaluate wrist function and pain, including pain, motion, grip strength. Results All the patients incision healed within 2 weeks. All the fractures had uneventful union within 8–12 weeks. Based on the modified Mayo wrist scoring (MMWS) system, most patients showed good to excellent functional recovery. Conclusion This reduction method proved to be both simple and replicable, enabling satisfactory alignment with minimal force. The volar locking plate system provided rigid and stable fixation.https://doi.org/10.1186/s12893-024-02725-4Multi-direction temporary Kapandji techniqueVolar locking plate fixationType C distal radius fractures
spellingShingle Wei Zhao
Kun-xiu Song
Yong-tao Liu
Bing-dong Ma
Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fractures
BMC Surgery
Multi-direction temporary Kapandji technique
Volar locking plate fixation
Type C distal radius fractures
title Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fractures
title_full Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fractures
title_fullStr Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fractures
title_full_unstemmed Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fractures
title_short Clinical application of multi-direction temporary Kapandji technique and volar locking plate fixation for type C distal radius fractures
title_sort clinical application of multi direction temporary kapandji technique and volar locking plate fixation for type c distal radius fractures
topic Multi-direction temporary Kapandji technique
Volar locking plate fixation
Type C distal radius fractures
url https://doi.org/10.1186/s12893-024-02725-4
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AT yongtaoliu clinicalapplicationofmultidirectiontemporarykapandjitechniqueandvolarlockingplatefixationfortypecdistalradiusfractures
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