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. Technique and indications of kapandjisauve procedure in nonrheumatoid. Intra focal pinning of fractures of the distal end of the radius 10 years later. The technique involves creating a buttress against the. Inventor of joint prosthesis for instance, on the first carpometacarpal joint, on the radiocarpal joint and on the distal radioulnar jointand a miniradius. The physiology of the joints ibrahim adalbert kapandji. 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. 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. Osteosynthesis using intra focal pins of anteriorly dislocated fractures of the inferior radial epiphysis. The main outcome measures in this study included four radiographic measurements. Treatment of distal radius fractures by intrafocal. Grossly displaced fractures, children over 10 years, inadequately reduced fractures, the results found to be less than satisfactory. Figure 3 from the kapandji pinning technique for the. Brochage mixte transstyloidien et intrafocal dans les.
Intrafocal pinning is a percutaneous method of reduction and stabilization of a distal radius fracture first described by adalbert kapandji. Clinical test of apposition and counterapposition of the thumb. 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. Percutaneous pinning of distal radius fractures using. Original indications for intrafocal pinning included displaced. Intrafocal fixation for treating distal radius fracture. The purpose of this prospective radiographic study was to. Read, highlight, and take notes, across web, tablet, and phone. They demonstrate that this fixation mode is as reliable as anterior plate osteosynthesis, with less anatomic cost. The technique involves creating a buttress against the displaced fragment by pin insertion and manipulation directly at the fracture site. Intrafocal kapandji pinning of unstable fractures of the distal radius. Place du brochage intrafocal dans le traitement des.
Soo min cha, hyun dae shin, kyung cheon kim, and sun cheol han. After a long career as an orthopaedic surgeon, member of several international societies, he is now devoting himself fully to the new edition of the three volumes of his work the physiology of the joints, already published in eleven languages. Intrafocal fixation for a displaced distal radius fracture is a surgical option that achieves early functional recovery. Biomedical open access journal for medical and clinical. Treatment of distal radius fractures by intrafocal pinning with arum pins. Anterior fracture displacement in colles fractures after kapandji wiring in women over 59 years.
Pdf anterior fracture displacement in colles fractures. Intrafocal kapandji pinning of distal radius fractures with and without external fixation. The first group underwent kapandji pinning of the fracture. Intrafocal kapandji pinning of distal radius fractures with and. The kapandji pinning technique for the treatment of fractures of the distal radius. Anterior fracture displacement in colles fractures after. Percutaneous reduction and leverage fixation using kwires.
Place du brochage intra focal dans le traitement des fractures du poignet. Adalbert ibrahim kapandji, french orthopedic surgeon. Percutaneous reduction and leverage fixation using kwires in paediatric angulated radial neck fractures. Patients were randomly assigned to group 1 or group 2. Kempf, place du brochage intra focal dans le traitement des fractures du poignet int orthop 12. Osteosynthese par broches intrafocales des fractures a. 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. Intrafocal reduction and percutaneous fixation of neck.
Show full abstract modification of the kapandji technique, replacing the lateral intra focal pin with a direct transstyloid pin. Achievements include author of many surgical procedures, among them a technique of fixation of the lower end radius fractures with special intrafocal pins named arum. 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. 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. Kapandji needs no introduction, he is internationally recognized among orthopaedic surgeons and physicalmanual therapists. Distal radius fracture by minimally invasive plate. A prospective comparison between kapandji and percutaneous.
Intrafocal pinning as described by kapandji in 1976 is generally standard treatment of fractures of the distal radius with posterior displacement. This is a singlecenter prospective comparative study from january to june 20. 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. The authors describe two anterior approaches to intrafocal pinning of distal radius fractures, with anterior tilt, smith type and anterior margin type. Treatment of metaphysial distal radius fractures in. 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. Transstyloid and intrafocal pinning for extraarticular. The kapandji pinning technique for the treatment of. Intrafocal pinning for distal radius metaphyseal fractures. 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. Pdf anteriorly displaced fractures of the wrist can be treated by the kapandji technique of percutaneous intrafocal pinning with pins inserted. The lateral kirschner wire is introduced between the abductor pollicis longusextensor pollicis brevis tendons and the extensor carpi radialis longus tendon. 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.
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. The xrays of 89 fractures in women over 59 years of age were evaluated. The secondary objective was to evaluate the surgical outcomes of kapandji pinning using intra focal anesthesia. Pdf a modified kapandji procedure for smiths fracture in children. Treatment of paediatric unstable displaced distal radius. Figure 2 from the kapandji pinning technique for the. As a result of this impetus every work on anatomy nowadays covers. Comparison 2 kapandji intrafocal pinning 2 or 3 wires versus transstyloid fixation 2 wires.