What is Intrafocal pinning?
Intrafocal pinning is a percutaneous method of reduction and stabilization of a distal radius fracture first described by Adalbert Kapandji. The technique involves creating a buttress against the displaced fragment by pin insertion and manipulation directly at the fracture site.
What is radial inclination?
The radial inclination is a measurement made on the AP projection of the wrist as an angle of the distal radial surface with respect to a line perpendicular to the shaft. A normal range is considered at around 21-25° 5.
What is Intrafocal?
The intrafocal pinning technique, described by Kapandji in 1987, was defined as the insertion of pins into the fracture site to lever the displaced fracture fragment into position [7].
How do you measure radial inclination?
The radial inclination is measured by drawing a line perpendicular to the long axis of the radius and a tangential line from the radial styloid to the ulnar corner of the lunate fossa. The volar tilt, or volar inclination, is measured on the lateral view.
What is a DRUJ procedure?
It involves the removal of a very small section of bone from the ulna bone close to the wrist followed by fixation with a plate. The effect of slightly shortening the ulna bone is to tighten the ligaments between the radius and ulna bones and so provide greater stability to the DRUJ.
What is DRUJ?
What is Distal Radioulnar Joint (DRUJ) Instability? Distal radioulnar joint instability is the abnormal orientation or movement of the radius and ulna bones at the wrist in relation to one another. Injury to the tendons, ligaments and/or muscles stabilizing the joint may cause partial or complete dislocation.
What is intrafocal (Kapandji)?
Intrafocal (Kapandji) pinning of distal radius fractures with and without external fixation . Intrafocal (Kapandji) pinning of unstable distal radius fractures: a preliminary report. The unstable distal radial fracture one year post Treatment of distal radius fractures with intrafocal (kapandji) pinning and supplemental skeletal stabilization .
What is intrafocal pinning?
Intrafocal pinning is a percutaneous method of reduction and stabilization of a distal radius fracture first described by Adalbert Kapandji. The technique involves creating a buttress against the displaced fragment by pin insertion and manipulation directly at the fracture site.
What is Kapandji’s technique of pin fixation?
– Kapandji’s Technique / Intra Focal Pin Fixation: – a technique in which pins are inserted into the fracture site which are then used to pry the distal fragment into optimal position; – indicated for extra-articular distal radial fractures w/ good bone stock; – using flourscopy, pins are driven into the frx site in a proximal to distal direction;
How many patients have been treated with Kapandji?
Seventy-three patients were treated with either intrafocal pinning (Kapandji technique) alone or in combination with external fixation between 1988 and 1993 for extra-articular fractures of the distal radius (with or without a nondisplaced extension into the radiocarpal articular surface) with inade …