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Corresponding Author

Ahmed Ashraf Youssef

Document Type

Original Article

Abstract

Background: Most pediatric head and neck fractures are type I and type II, which contain the radius bone and are undisplaced or minimally displaced. Closed reduction and cast immobilization can treat these fractures successfully.

Aim and objectives: To evaluate the radiological & functional results of closed reduction of the Kapandji technique in pediatric head and neck radius fractures.

Patients and methods: A prospective study was performed on Ten pediatric patients who were receiving treatment at Ahmed Maher Teaching Hospital & Al-Hussein University Hospital in Cairo, Egypt from January 2022 to December 2023. Functional results of this technique were evaluated using DASH and Mayo Elbow Performance Score (MEPS).

Results: The average age of the studied patient was 7.2 (range 3 to 12) yrs. 8 patients (80%) were boys & two (20%) were girls, with male to female ratio was 4:1. Regarding pain degree, None in 6 (60%) mild in 4(forty percent), moderate in 0 (0%) & severe in 0 (0%). 7(70%) had excellent MEPS, 2(20%) had good MEPS, 1(10%) had medium, 0(0%) had poor MEPS. The mean duration of follow-up was two years, with a range of 1/2 to 2 years.

Conclusion: Kapandji pinning is a straightforward &less invasive treatment that could potentially replace the open procedure for treating displaced fractures of the radius neck & head in infants following unsuccessful closed reduction.

Keywords

kapandji technique; Pediatric head; Pediatric neck; Radius fractures

Subject Area

Orthopedics

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