The Utility of Kapandji Technique in Closed Reduction and Percutaneous Pinning Of Completely Displaced Pediatric Supracondylar Fracture of Humerus: Technical Note | ||
The Archives of Bone and Joint Surgery | ||
مقاله 10، دوره 12، شماره 12، اسفند 2024، صفحه 869-873 اصل مقاله (866.77 K) | ||
نوع مقاله: TECHNICAL NOTE | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2024.80084.3664 | ||
نویسندگان | ||
Bhava RJ. Satishkumar؛ Mahadevappa Mallesh؛ Lester Frank* | ||
BRJ Orthocentre & MAK Hospital, Coimbatore, India | ||
چکیده | ||
The standard treatment for displaced pediatric supracondylar fracture of humer us (PSCFH) is closed reduction and percutaneous pinning under image intensifier guidance. This technical note describes Kapandji intrafocal pinning technique (KIPT) for achieving optimal fracture reduction and stable fixation in Gartland Type III or IV extension type PSCFH. In KIPT, a K wire was introduced into the fracture site from the posterior aspect, fracture manipulatio n was done by levering with wire reducing the posterior displacement of the distal fragment and the wire was fixed to the anterior cortex of the proximal fragment. After this sagittal plane reduction and stabilization with intrafocal wire , coronal plane reduction could be carried out easily. This was followed by pinning of columns: all lateral or crossed (medial and lateral). In completely displaced extension type PSCFH, KIPT achieves ideal fracture reduc tion without vigorous manipulation in short surgical time and enables easy column pinning. Level of evidence: II | ||
کلیدواژهها | ||
Intrafocal pinning؛ Kapandji leverage technique؛ Percutaneous pinning؛ Supracondylar fracture humerus | ||
مراجع | ||
| ||
آمار تعداد مشاهده مقاله: 139 تعداد دریافت فایل اصل مقاله: 126 |