Seventy-three @entity1 were treated with either intrafocal pinning (Kapandji technique) alone or in combination with external fixation between 1988 and 1993 for extra-articular @entity174 of the distal radius (with or without a nondisplaced extension into the radiocarpal articular surface) with inadequate alignment after initial closed reduction. Sixty-one @entity1 were available for follow-up examination at an average of 34 months (range, 24-71 months). The average age was 52 years (range, 16-84 years). Thirty-three of the @entity1 were female. The @entity1 all had dorsally displaced extra-articular @entity174 , although 56% had a nondisplaced extension of the @entity174 into the radiocarpal joint and 46% had a nondisplaced @entity174 extending into the distal radioulnar joint. The @entity1 were separated into groups based on age, degree of comminution, and whether external fixation was also used. In the older @entity1 , range of motion, grip strength, and @entity158 relief were significantly better when external fixation was used, even when only 1 cortex of the radius demonstrated comminution. In the younger @entity1 , good results in terms of range of motion, grip strength, and @entity158 relief were obtained when percutaneous intrafocal pins were used alone in @entity1 with comminution of only 1 surface of the radius (<50% of the metaphyseal diameter). When > or = 2 sides of the radial metaphysis were comminuted, the @entity1 with external fixation had better results than those without external fixation. Although the correction of palmar tilt and radial tilt did result in better functional results, the restoration of radial length had the most significant effect on range of motion and grip strength.

Intrafocal (Kapandji) pinning of distal radius XXXX with and without external fixation.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture']
@entity174 :: (MESH:D050723,Disease) :: ['fractures']
