Intra Focal K-Wiring for Distal End Radius (Kapandji Technique): Surgical Technique

Vol. 9 | Issue 2 | August-September 2021 | Page: 21-22 | Vijay A. Malshikare
DOI:10.13107/jkoa.2021.v09i02.042

Authors: Vijay A. Malshikare [1]

[1] Department of Hand and Wrist Surgery, Jehangir Hospital, Sassoon Road, Pune, Maharashtra, India.

Address of Correspondence
Dr. Vijay A. Malshikare,
Consultant Hand and Wrist Surgery, Jehangir Hospital, Sassoon Road, Pune, Maharashtra, India.
E-mail: 18.52north@gmail.com.

Introduction

Many years distal end radius fractures (DRF) are the most encountered type of fracture. In standard form, extra-articular distal end radius fractures were fixed after manual reduction and then pinned extra-articular by drilling distal cortex and passing fracture site to fix proximal fragment (Figure 1). But after 2 to 3 weeks depending upon osteoporosis fracture collapse(cancellous bone heal by collapse) and flexibility of the K wire distal fragment moves back until the K wire abut the inferior edge of the proximal fragment and does not avoid secondary displacement (Figure 2) [1].

Video: Surgical Steps

To View Video Click on the Image

References

1. AI Kapandji: Treatment by intrafocal pinning with arum pins. In: Philippe Safar, William P Cooney III, editors. Fracture of the distal radius. Philadelphia: JB Lippincott, 1995.p. 72-73.

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