Intra Focal K-Wiring for Distal End Radius (Kapandji Technique): Surgical Technique

Vijay A. Malshikare
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Abstract

Many years distal end radius fractures (DRF) are the most encountered type of fracture. In standard form, extra-articular distal end radius fractures were fixed after manual reduction and then pinned extra-articular by drilling distal cortex and passing fracture site to fix proximal fragment (Figure 1). But after 2 to 3 weeks depending upon osteoporosis fracture collapse(cancellous bone heal by collapse) and flexibility of the K wire distal fragment moves back until the K wire abut the inferior edge of the proximal fragment and does not avoid secondary displacement (Figure 2) [1].
桡骨远端局灶内k线(Kapandji技术):外科技术
多年桡骨远端骨折是最常见的骨折类型。在标准形式,关节外半径远端骨折固定后手动减速,然后固定关节外修复通过钻井远端皮质和骨折的部位近端片段(图1),但2到3周后根据骨质疏松骨折崩溃(松质骨愈合的崩溃)和K线的灵活性远端片段移动直到K线邻接的下边缘近端片段,不避免二次位移(图2)[1]。
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