Epinette J A, Lehut J M, Cavenaile M, Bouretz J C, Decoulx J
Clinique Médico-Chirurgicale, Bruay-en-Artois.
Ann Chir Main. 1982;1(1):71-83. doi: 10.1016/s0753-9053(82)80047-1.
First described by Kapandji, the double closed "basket-like" pinning is a new and quite attractive treatment of the Colles' fracture. With or without XR TV, following closed reduction the epiphysis is fixed steady with two Kirschner wires, sliding along its lateral and its posterior aspects, entering the radius at the fracture site and transfixing the bone cortex above. Plaster cast is unnecessary, and wrist reeducation begins on the first day post-op. Technical "know-how" is specified, and seventy-two patients followed up. Present findings indicate that the complication rate is very low, excellent and good results are 83%. Rehabilitation is quicker, socio-economically gratifying. We believe that the method significantly improves the conservative treatment of Colles' fracture and decide to use it extensively from now on.
双闭合“篮状”穿针固定术最早由卡潘迪描述，是一种全新且颇具吸引力的治疗科雷氏骨折的方法。无论有无X线电视辅助，在闭合复位后，用两根克氏针沿骨骺的外侧和后侧滑动，在骨折部位进入桡骨并穿透上方的骨皮质，将骨骺稳固固定。无需石膏固定，术后第一天即可开始腕关节康复训练。文中详细说明了技术要点，并对72例患者进行了随访。目前的研究结果表明，并发症发生率很低，优良率达83%。康复进程更快，具有社会经济效益。我们认为该方法显著改进了科雷氏骨折的保守治疗，决定从现在起广泛应用。
