A Sandwich Method Using Kapandji Intrafocal Pinning to Facilitate Palmar Plating of Displaced Distal Radius Fractures

Tech Hand Up Extrem Surg. 2017 Sep;21(3):121-126. doi: 10.1097/BTH.0000000000000166.


The use of palmar plating in the treatment of dorsally displaced distal radius fracture is very common, and can result in a good functional outcome. We present an easy "sandwich method" to reduce the fracture and to facilitate osteosynthesis. Firstly, the dorsal Kapandji intrafocal wire was applied to achieve the reduction of the dorsally displaced fracture and provide a volar-directed force. Then the intra-articular fractures were reduced or the metaphyseal defect is stuffed with bone graft if necessary. Finally, the anatomical plate is used to buttress and push back the distal fragment to complete the osteosynthesis. The postoperative radiographic parameters, comparing with the contralateral noninjured side, could achieve similar radial height, radial inclination, volar tilt, and ulnar variance without significant difference.

MeSH terms

  • Adult
  • Aged
  • Bone Nails
  • Bone Plates*
  • Bone Wires
  • Female
  • Fracture Dislocation / diagnostic imaging
  • Fracture Dislocation / surgery*
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Fracture Healing / physiology
  • Humans
  • Intra-Articular Fractures / diagnostic imaging
  • Intra-Articular Fractures / surgery*
  • Male
  • Middle Aged
  • Prognosis
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*
  • Range of Motion, Articular / physiology
  • Treatment Outcome
  • Young Adult