[Intrafocal wire fixation of wrist fractures. The original Kapandji technique. Course. Review of 400 cases].
Dynamic intrafocal pin fixation, first described by Kapandji for extra-articular fractures is an elegant solution for consolidating wrist fractures with posterior compression. We reviewed our experience using this method with 400 patients, confirming the validity of the method when applied rigorously. Globally, there is a correlation between the radiological findings and the quality of the clinical results which were satisfactory in 90% of the cases analyzed. Indications now include many joint fractures as a three-pin intrafocal fixation is performed. There is also the risk of creating an associated anterior comminution (either by trauma or iatrogenic) causing inadapted calus formation by secondary impaction, often with severe affects on the lower radio-cubital area. To avoid this inconvenience, we propose aasociating pin fixation with anterior internal fixation by an anterior plate. Analyzing 50 cases seen after consolidation confirmed the importance of this complementary fixation. Thus multiple fixation maintains good joint alignment without final compression leading to the quality results obtained.
Nonnenmacher
J
J
Centre de Traumatologie et d'Orthopédie de la CRAMAM Strasbourg.
Soley
K
K
Bahm
J
J
D001864:Bone Wires / Q000009:adverse effects; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D013997:Time Factors; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
Brochage intra-focal des fractures du poignet. Technique originelle de Kapandji. Evolution. Revue de 400 cas.