Show full abstract modification of the kapandji technique, replacing the lateral intra focal pin with a direct transstyloid pin. Osteosynthese par broches intrafocales des fractures a. The purpose of this prospective radiographic study was to. Figure 2 from the kapandji pinning technique for the. Treatment of paediatric unstable displaced distal radius. The aim of this study was to assess the radiological results of colles fractures treated with kapandji wiring and to determine the frequency of postoperative anterior fracture displacement. Osteosynthesis using intra focal pins of anteriorly dislocated fractures of the inferior radial epiphysis. Intrafocal kapandji pinning of distal radius fractures with and. Distal radius fracture by minimally invasive plate. Intrafocal pinning is a percutaneous method of reduction and stabilization of a distal radius fracture first described by adalbert kapandji. Percutaneous pinning of distal radius fractures using. As a result of this impetus every work on anatomy nowadays covers. The secondary objective was to evaluate the surgical outcomes of kapandji pinning using intra focal anesthesia.
Inventor of joint prosthesis for instance, on the first carpometacarpal joint, on the radiocarpal joint and on the distal radioulnar jointand a miniradius fixator for distal radius fractures pioneering hand surgery. In order to improve stability, other authors have proposed a modification of the kapandji technique, replacing the lateral intra focal pin with a direct transstyloid pin. Patients were randomly assigned to group 1 or group 2. Transstyloid and intrafocal pinning for extraarticular. The lateral kirschner wire is introduced between the abductor pollicis longusextensor pollicis brevis tendons and the extensor carpi radialis longus tendon. Now in its sixth edition, the physiology of the joints volume two the lower limb is illustrated in full colour, rewritten and enriched with new text. Treatment of distal radius fractures by intrafocal.
Intrafocal pinning as described by kapandji in 1976 is generally standard treatment of fractures of the distal radius with posterior displacement. Percutaneous reduction and leverage fixation using kwires. We report a retrospective evaluation of the results with various types of distal radius fracture, using various fixation materials in 104 patients 69 women and 35 men. Intra focal pinning of fractures of the distal end of the radius 10 years later. Treatment of metaphysial distal radius fractures in. Place du brochage intra focal dans le traitement des fractures du poignet. Intrafocal kapandji pinning of unstable fractures of the distal radius. Biomedical open access journal for medical and clinical. Figure 3 from the kapandji pinning technique for the. The technique involves creating a buttress against the displaced fragment by pin insertion and manipulation directly at the fracture site. They demonstrate that this fixation mode is as reliable as anterior plate osteosynthesis, with less anatomic cost. The main outcome measures in this study included four radiographic measurements.
Intrafocal reduction and percutaneous fixation of neck. Rh, measured from the pa radiograph, is defined as the distance between two perpendiculars to the long axis of the radius, one drawn at the tip of the radial styloid process and the other at the ulnar corner of the lunate fossa, which averagely. Anterior fracture displacement in colles fractures after kapandji wiring in women over 59 years. This technique, based on the bench effect of pinning on the posterior and radial cortexes has certain limitations in the event of major posterior comminution.
Conceived and written over forty years ago, it has brought back to centre stage biomechanics, which previously was dismissed as anecdotal in works on human anatomy. Anterior fracture displacement in colles fractures after. The physiology of the joints ibrahim adalbert kapandji. Intrafocal fixation for a displaced distal radius fracture is a surgical option that achieves early functional recovery. Adalbert ibrahim kapandji born april 17, 1928, french. The kapandji score is a tool useful for assessing the opposition of the thumb, based on where on their hand the patient is able to touch with the tip of their thumb. Adalbert ibrahim kapandji, french orthopedic surgeon. The technique involves creating a buttress against the. A prospective comparison between kapandji and percutaneous. Pdf anterior fracture displacement in colles fractures. The xrays of 89 fractures in women over 59 years of age were evaluated. Soo min cha, hyun dae shin, kyung cheon kim, and sun cheol han. Treatment of distal radius fractures by intrafocal pinning with arum pins. Intrafocal fixation for treating distal radius fracture.
Original indications for intrafocal pinning included displaced. The authors describe two anterior approaches to intrafocal pinning of distal radius fractures, with anterior tilt, smith type and anterior margin type. Intrafocal pinning for distal radius metaphyseal fractures. Achievements include author of many surgical procedures, among them a technique of fixation of the lower end radius fractures with special intra focal pins named arum. Comparison 2 kapandji intrafocal pinning 2 or 3 wires versus transstyloid fixation 2 wires. The kapandji pinning technique for the treatment of. Clinical test of apposition and counterapposition of the thumb. Pdf anteriorly displaced fractures of the wrist can be treated by the kapandji technique of percutaneous intrafocal pinning with pins inserted. Pdf a modified kapandji procedure for smiths fracture in children. Read, highlight, and take notes, across web, tablet, and phone. Intrafocal kapandji pinning of distal radius fractures with and without external fixation. Prospective study on all patients presented between 20 and 2016 with extraarticular kapandji type1 and 2 and simple intra articular fractures kapandji type4 of wrist and treated by kapandji technique where contralateral uv was used as reference for correction of radial length. Grossly displaced fractures, children over 10 years, inadequately reduced fractures, the results found to be less than satisfactory. Sauve kapandji s method of intra focal reduction gives excellent reduction, maintainance of reduction and also predictable and reproducible results in terms of function and cosmesis.