The Kapandji technique and its evolution in the treatment of fractures of the distal end of the radius. Report on a series of 159 cases.

The authors analyse the results of treatment of 159 fractures of the distal end of the radius by the "Kapandji Technique". Of these 159 fractures, 129 were extra-articular, 27 intra-articular and 3 fractures affected both the two bones of the forearm. The technique should be applied strictly, with primary reduction and direct control of the tendinous and nervous elements through the incisions. A third pin is sometimes necessary. A 5 years postoperative period is sufficient to get a meaningful analysis of the results which were very good or good in 93% of our cases. The only real problem was anterior over-reduction due to progressive secondary displacement which necessitated regular postoperative follow-up.