Brady O, Rice J, Nicholson P, Kelly E, O'Rourke S K
Department of Orthopaedic Surgery, St. Vincent's Hospital, Dublin 4, Ireland.
Injury. 1999 May;30(4):251-5. doi: 10.1016/s0020-1383(99)00075-3.
Kapandji pinning has been proposed as the treatment of choice for unstable Colles' fractures. The aim of this paper is to evaluate our experience treating unstable Colles' type fractures using this technique. Over a nine month period, 36 patients with Colles' type fractures were treated operatively at St. Vincent's Hospital. 22 of these fractures were deemed unstable and were treated using percutaneous intrafocal Kapandji pinning. 20 of these patients were recalled for review at a mean of 11.3 month post injury. At this stage the wrist was examined clinically and radiologically. Initial satisfactory correction of deformity was achieved by this technique. Between the time of wire removal and final review, however, there was significant recurrence of dorsal angulation (P < 0.05), but no significant radial shortening on radiographs. The patients had a satisfactory clinical result in spite of these radiological parameters.
卡潘迪针固定术已被提议作为不稳定型科雷氏骨折的首选治疗方法。本文旨在评估我们使用该技术治疗不稳定型科雷氏骨折的经验。在九个月的时间里，圣文森特医院对36例科雷氏骨折患者进行了手术治疗。其中22例骨折被认为是不稳定的，并采用经皮病灶内卡潘迪针固定术进行治疗。这些患者中有20例在受伤后平均11.3个月被召回进行复查。在此阶段，对腕关节进行了临床和放射学检查。通过该技术初步实现了对畸形的满意矫正。然而，在取出钢丝至最终复查期间，背侧成角有显著复发（P<0.05），但X线片上没有明显的桡骨短缩。尽管有这些放射学参数，患者的临床结果仍令人满意。
