April 11, 2024

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

Kapandji technique
Kapandji technique

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

Kapandji technique
Kapandji Technique

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