{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:16:33Z","timestamp":1784999793784,"version":"3.55.0"},"reference-count":26,"publisher":"SLACK, Inc.","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p>In completely displaced pediatric distal radial fractures, achieving satisfactory reduction with closed manipulation and maintenance of reduction with casting is difficult. Although the Kapandji technique of K-wiring is widely practiced for distal radial fracture fixation in adults, it is rarely used in pediatric acute fractures. Forty-six completely displaced distal radial fractures in children 7 to 14 years old were treated with closed reduction and K-wire fixation. One or 2 intrafocal K-wires were used to lever out and reduce the distal fragment\u2019s posterior and radial translation. One or 2 extrafocal K-wires were used to augment intrafocal fixation. Postoperative immobilization was enforced for 3 to 6 weeks (with a short arm plaster of Paris cast for the first half of the time and a removable wrist splint for the second half), after which time the K-wires were removed. Patients were followed for a minimum of 4 months. Mean patient age was 9.5 years. Near-anatomical reduction was achieved easily with the intrafocal leverage technique in all fractures. Mean procedure time for K-wiring was 7 minutes. On follow-up, there was no loss of reduction; remanipulation was not performed in any case. There were no pin-related complications. All fractures healed, and full function of the wrist and forearm was achieved in every case. The Kapandji K-wire technique consistently achieves easy and near-anatomical closed reduction by a leverage reduction method in completely displaced pediatric distal radial fractures. Reduction is maintained throughout the fracture-healing period. The casting duration can be reduced without loss of reduction, and good functional results can be obtained.<\/jats:p>","DOI":"10.3928\/01477447-20140825-58","type":"journal-article","created":{"date-parts":[[2014,9,8]],"date-time":"2014-09-08T15:40:34Z","timestamp":1410190834000},"source":"Crossref","is-referenced-by-count":19,"title":["Closed Reduction and K-Wiring With the Kapandji Technique for Completely Displaced Pediatric Distal Radial Fractures"],"prefix":"10.3928","volume":"37","author":[{"given":"Bhava R. J.","family":"Satish","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muniramaiah","family":"Vinodkumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masilamani","family":"Suresh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasad Y.","family":"Seetharam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishnaraj","family":"Jaikumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00369"},{"key":"e_1_3_1_3_2","volume-title":"Fractures in Children","author":"Fernandez DL","year":"1981","unstructured":"Fernandez DL. Conservative treatment of forearm fractures in children. In: , Chapchal G, ed. Fractures in Children. New York, NY: Thieme-Stratton; 1981."},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19850601-12"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-191502000-00010"},{"key":"e_1_3_1_6_2","first-page":"540","article-title":"Management of fractures of the distal forearm in children","volume":"57","author":"Compere CL","year":"1965","unstructured":"Compere CL, Carr CR, Tracy HW. Management of fractures of the distal forearm in children. South. Med J. 1965; 57:540\u2013550.","journal-title":"South. 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