Research Article
Volume 11 Issue 4 - 2020
Comparative Study between Kapandji Intrafocal Pinning Versus Plaster Immobilization of Pouteau-Colles’ Fractures in Adults in Bangui
Bertrand Jean-de-Dieu Tékpa*, Tiburce Yafondo, Ulrich Nguena Yamalet, François Xavier Gbassapa, Eve Fassioni and Don Rodrigue Nabia
Department of Orthopedics-Traumatology of the Community CHU of Bangui, Central African Republic
*Corresponding Author: Bertrand Jean-de-Dieu Tékpa, Orthopedist-Traumatologist, Head of Trauma-Orthopedics Department of the Community CHU of Bangui, Central African Republic.
Received: January 10, 2020; Published: March 27, 2020




Abstract

Aim: To evaluate the results of the treatment of Pouteau-Colles’ fractures by Kapandji intrafocal pinning versus plaster immobilization alone.

Materials and Methods: This was a prospective study conducted from May 2011 to April 2013, involving trauma patients with Pouteau- Colles’ fractures treated by Kapandji intrafocal pinning or by plaster. The results of the treatment were analyzed and compared in the two groups. Patients were randomized and their consent was required before treatment. The Metsdagh criteria were used for clinical and functional evaluation after a minimum follow-up of 12 months. Patient satisfaction with treatment was also collected in the two groups.

Results: During the study period, one hundred patients with a Pouteau-Colles fracture were included, 50 in each group. There were 56 men and 44 women, average age was 36, distributed evenly across the two groups. During the follow-up, we recorded five displacements in plaster, two migrations and two externalizations of the pins. There was no difference in the consolidation time which was 6 weeks (range: 4-10 weeks) in both groups. We observed 34 cases of malunions, including 28 in the plastered group and six in the wired group (RR = 4.66, p = 0.000001). After an average follow-up of 29 months, the overall results were excellent and good for 42/50 in the wired group versus 17/50 in the plastered group in the poor results of the series were observed among. The patients were satisfied with the treatment in 42/50 intrafocal pinning versus 12/50 plastered for aesthetic, clinical and functional reasons.

Conclusion: The systematic pinning of Pouteau-Colles’ fractures gives good clinical and functional results, prevents from malunions often observed after conservative treatment

Keywords: Fracture; Radius; Distal; Pinning; Plaster; Treatment; malunion

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Citation: Bertrand Jean-de-Dieu Tékpa., et al. “Comparative Study between Kapandji Intrafocal Pinning Versus Plaster Immobilization of Pouteau-Colles’ Fractures in Adults in Bangui”. EC Orthopaedics 11.4 (2020): 127-135.

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