Kapandji Techniques is an intrafocal technique for the reduction and fixation of fractures using K-wire
Kapandji Techniques for Distal radius fractures
Initial close manual reduction to restore the anatomical alignment of the fracture fragment
While maintaining the reduction- radial to ulnar pin is introduced directly into the fracture site
The pin is advanced to the center of the fracture gap and elevated to provide buttressing effects restoring radial inclinations
The pin is driven through the ulnar cortex of radial securing fixation
The technique is based on placement of wires into the fracture site, pivoting the wires distally about 45°, then proximal advancement of the pins through cortical bone
Similar fashion in dorsal to volar pin, directly at volar cortex to restore the volar tilt
Secure the fixation
3rd Pin, dorsal to volar posteromedial pin for a complicated fracture or multiple fragments
Postoperatively, immediate wrist mobilization and avoidance of plaster cast
See also: Videos on Sauve’ Kapandji Techniques
See also: Tension Band Principles
