Technique Ppt !!link!! — Kapandji
Kapandji technique , also known as intrafocal pinning , is a percutaneous surgical method used to reduce and stabilize specific types of distal radius fractures. First described by Adalbert Kapandji in 1976, the technique uses Kirschner wires (K-wires) as "joysticks" or levers inserted directly into the fracture site to pry fragments into an anatomical position before securing them into the opposite cortex. PubMed Central (PMC) (.gov) 1. Indications and Contraindications The technique is primarily designed for unstable, extra-articular distal radius fractures where closed reduction and casting are insufficient. Clinical Gate Ideal Indications: Extra-articular fractures (e.g., Colles' fracture) with good bone stock. Younger patients with minimal comminution. Fractures that are easily reducible by closed means. Contraindications: Significant intra-articular displacement or severe comminution. Poor bone quality or severe osteoporosis (high risk of pin migration or loss of reduction). Fractures with volar (palmar) cortical comminution. PubMed Central (PMC) (.gov) Distal Radius Frx: Kapandji's Technique
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The Kapandji Technique Indications & Surgical Steps (Your Name / Date)
Slide 2: History & Origin
Developed by Adalbert Kapandji (French surgeon, 1980s) Originally for distal radius fractures (intra-focal pinning) Later adapted for thumb metacarpophalangeal (MCP) arthrodesis Kapandji technique , also known as intrafocal pinning
Slide 3: Core Principle
Intra-focal pinning : K-wires inserted directly into the fracture site Wires are used as levers to reduce the fracture Provides stable fixation without external fixation
Slide 4: Indications
Dorsally displaced, extra-articular distal radius fractures Some intra-articular fractures Nonunion of the thumb MCP joint (arthrodesis version)
Slide 5: Contraindications
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