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Kapandji's Technique:
- a technique in which pins are inserted into the fracture site which are then used to pry the distal fragment into optimal position;
- indicated for extra-articular distal radial fractures w/ good bone stock;
- using flourscopy, pins are driven into the frx site in a proximal to distal direction;
- to correct loss of dorsal angulation, drive pins into the dorsal cortex;
- to correct loss of radial inclination, drive pins along the radial cortex;
- be sure to make long enough incisions to be sure that the pins will not be driven across the extensor tendons;
- the pins are then levered until the proper anatomy is restored, and subsequently the pins are
then driven proximally and oblique into the cortex of the proximal fragment;
- disadvantages:
- intra-focal pinning by itself does not provide rigid fixation and often requires concomitant external fixation;
- propensity for collapse in older patients, especially when comminution is present (since frx fragments can slide along the pin;
Bone fixation by double percutaneous pinning.
Functional treatment of non-articular fractures of the lower end of the radius.
A. Kapandji.
Ann Chir Main. Vol 6 1976. p 903-908.
Internal fixation by double intrafocal pinning.
Functional treatment of non articular fractures of the lower end of the radius.
A. Kapndji.
Ann Chir Main. Vol 6. 1987. p 57-63.
Intrafocal (Kapandji) pinning of distal radius fractures with and without external fixation.
TE Trumble et al.
J. Hand Surg. Vol 23-A. No 3. May 1998. p 381.
