European Journal of Cardiovascular Medicine

Background: The technique of intra-focal pinning described by Kapandji is used in the paediatric patients. We present the series of paediatric patients treated with Kapandji technique for unstable displaced distal radius fractures. Methods: We retrospectively reviewed medical records and radiographs of a consecutive series of 36 paediatric patients who underwent closed reduction and fixation with Kapandji technique for unstable displaced metaphyseal fractures from 2021 september to September 2022. percutaneous K-wires were inserted intra-focally to lever out, reduce and stabilize the distal fragment. The arm was immobilized with an above-elbow cast, and radiographic controls were scheduled at 1, 4, 8weeks, at least. Results: The mean age at the time of the trauma was 11.5 years. The K-wires were removed at a mean of 5.6 post-operative weeks. An above-elbow cast was used for the first 3 weeks, afterwards a below-elbow cast for 2 weeks and a short-arm brace until the full recovery of motion. The mean follow-up was 9 months (range 3.5-12 months). No pin-related complications were seen. All fractures showed good healing, and the full function of the wrist was achieved in all the cases. Conclusion: Kapandji pinning is a better technique in paediatric patients with unstable displaced distal radius fractures. It shows a lower complication rate and good outcome compared to other techniques.