PubMed Workshop Page 2

You will note that on the page showing the citations retrieved the original dialog box for a search is at the top showing the search string. Below this is another set of controls which varies the way the citation list is displayed.

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This box controls the number of citations displayed per page. The change is effected when you click on "Display" This box controls the amount of information that is conveyed with each citation. Clicking on abstract and then "Display" results in the abstracts being displayed as well as the titles. Options for sorting the list. The default sort is primarily by publication date but also has citations most closely matching the search string at the top.

Why was the initial number of articles on wrist fracture so low? One suspects that many more articles on the subject of distal radius fracture have been written. Perhaps that is the problem, we have been using the wrong search string (wrist fracture vs distal radius fracture).

Return to PubMed and try a search for Distal Radius fracture. Use the option to retrieve 500 citations per page. When I did this  1078 citations were obtained. Using the browser's Edit/Find option search this page for the word Kapandji.

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Several citations are found of which the following most closely match the subject of interest

  1. Mittelmeier W, Braun C, Schafer R.    Related Articles
    The Kapandji technique for fixation of distal radius fractures--a biomechanical comparison of primary stability.
    Arch Orthop Trauma Surg. 2001;121(3):135-8.
  2. Fikry T, Fadili M, Harfaoui A, Dkhissi M, Zryouil B.    Related Articles
    [Metaphysis fracture of the distal radius: Kapandji's or Py's pinning]?
    Ann Chir Main Memb Super. 1998;17(1):31-40. French.
  3. Board T, Kocialkowski A, Andrew G.   Related Articles
    Does Kapandji wiring help in older patients? A retrospective comparative review of displaced intra-articular distal radial fractures in patients over 55 years.
    Injury. 1999 Dec;30(10):663-9.
  4. Stoffelen DV, et al.           [See Related Articles]
    Closed reduction versus Kapandji-pinning for extra-articular distal radial fractures.
    J Hand Surg [Br]. 1999 Feb;24(1):89-91.
  5. Stoffelen DV, et al.           [See Related Articles]
    Kapandji pinning or closed reduction for extra-articular distal radius fractures.
    J Trauma. 1998 Oct;45(4):753-7.
  6. Trumble TE, et al.           [See Related Articles]
    Intrafocal (Kapandji) pinning of distal radius fractures with and without external fixation.
    J Hand Surg [Am]. 1998 May;23(3):381-94.
  7. Dowdy PA, et al.           [See Related Articles]
    Intrafocal (Kapandji) pinning of unstable distal radius fractures: a preliminary report.
    J Trauma. 1996 Feb;40(2):194-8.
  8. Lenoble E, et al.           [See Related Articles]
    Fracture of the distal radius. A prospective comparison between transstyloid and Kapandji fixations.
    J Bone Joint Surg Br. 1995 Jul;77(4):562-7.
  9. Hoel G, Kapandji AI.    Related Articles
    [Osteosynthesis using intra-focal pins of anteriorly dislocated fractures of the inferior radial epiphysis].
    Ann Chir Main Memb Super. 1995;14(3):142-56; discussion 156-7. French.
  10. Delattre O, et al.           [See Related Articles]
    [Reduction and osteosynthesis with pin fixation of wrist fractures. A comparative study between Kapandji's and Py's techniques].
    Rev Chir Orthop Reparatrice Appar Mot. 1994;80(2):94-107. French.
  11. Greatting MD, et al.           [See Related Articles]
    Intrafocal (Kapandji) pinning of unstable fractures of the distal radius.
    Orthop Clin North Am. 1993 Apr;24(2):301-7. Review.
  12. Siwinski D, et al.           [See Related Articles]
    [Early results of treatment of distal radius fracture using the Kapandji technique].
    Chir Narzadow Ruchu Ortop Pol. 1993;58(2):8-13. Polish.
  13. Delplace J, et al.           [See Related Articles]
    [Fractures of the distal radius with posterior displacement. Kapandji's technique].
    Ann Chir. 1992;46(4):355-8. French. No abstract available.
  14. Milliez PY, et al.           [See Related Articles]
    [Effect of early mobilization following Kapandji's method of intrafocal wiring in fractures of the distal end of the radius. Results of a prospective study of 60 cases].
    Int Orthop. 1992;16(1):39-43. French.

Interestingly no further papers are found using the term "Intrafocal" as the search string. Also of interest is the fact that Kapandji's original paper is not in the above list. This either means that it isn't in the 1078 papers on distal radius fractures, or his name wasn't first on the list of authors, or the word Intrafocal wasn't in the title.

Return to PubMed and enter "Kapandji" as the search string. This should get all the papers he wrote after 1967.

Amongst other interesting papers note the following, which came up on this search. 

  1. Walton NP, Brammar TJ, Hutchinson J, Raj D, Coleman NP.  Related Articles
    Treatment of unstable distal radial fractures by intrafocal, intramedullary K-wires.
    Injury. 2001 Jun;32(5):383-9.
  2. Brady O, Rice J, Nicholson P, Kelly E, O'Rourke SK.   Related Articles
    The unstable distal radial fracture one year post Kapandji intrafocal pinning.
    Injury. 1999 May;30(4):251-5.
  3. Fritz T, et al.           [See Related Articles]
    Combined Kirschner wire fixation in the treatment of Colles fracture. A prospective, controlled trial.
    Arch Orthop Trauma Surg. 1999;119(3-4):171-8.
  4. Seifert J, et al.           [See Related Articles]
    [Studying minimally invasive osteosynthesis methods for distal radius fractures. Intra-focal vs. conventional wire osteosynthesis].
    Unfallchirurgie. 1998 Feb;24(1):18-24. German.
  5. Epinette JA, et al.           [See Related Articles]
    Pouteau-Colles fracture: double-closed "basket-like" pinning according to Kapandji. Apropos of a homogeneous series of 70 cases.
    Ann Chir Main. 1982;1(1):71-83. English; French
  6. Fritz T, et al.           [See Related Articles]
    [Biomechanics of combined Kirschner wire osteosynthesis in the human model of unstable dorsal, distal radius fractures].
    Chirurg. 1997 May;68(5):496-502. German.
  7. Benoist LA, et al.           [See Related Articles]
    Buttress pinning in the unstable distal radial fracture. A modification of the Kapandji technique.
    J Hand Surg [Br]. 1995 Feb;20(1):82-96. It is very hard to understand why some of these papers did not turn up in the previous collection.
  8. Nonnenmacher J, et al.           [See Related Articles]
    [Intrafocal wire fixation of wrist fractures. The original Kapandji technique. Course. Review of 400 cases].
    Chirurgie. 1994-95;120(3):119-27. French.
  9. Rayhack JM.           [See Related Articles]
    The history and evolution of percutaneous pinning of displaced distal radius fractures.
    Orthop Clin North Am. 1993 Apr;24(2):287-300. Review.
  10. Kroitzsch U, et al.           [See Related Articles]
    [Basket wires--a percutaneous surgical procedure for the treatment of unstable Colles' fractures].
    Handchir Mikrochir Plast Chir. 1991 Nov;23(6):321-6. German
  11. Kapandji A.           [See Related Articles]
    [Intra-focal pinning of fractures of the distal end of the radius 10 years later].
    Ann Chir Main. 1987;6(1):57-63. French.

One gets the feeling that somehow the definition of the subject of interest has not been accurate enough to pick up all the papers that Medline has. This is why NLM introduced the concept of standardised terms to define medical subjects - the Medical Subject Heading (MeSH) system.

Key Point: If you think that you may be missing articles because the subject is poorly defined you need to use the Medical Subject Heading (MeSH) Browser.

continue with workshop to learn about MeSH

Myles Clough MD, FRCSC, Clinical Instructor, Dept. of Orthopaedics,
University of British Columbia
Nov.2001
Email comments most welcome mylesclough@shaw.ca