The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

The Utility of Kapandji Technique in Closed Reduction and Percutaneous Pinning Of Completely Displaced Pediatric Supracondylar Fracture of Humerus: Technical Note

Document Type : TECHNICAL NOTE

Authors
Bhava RJ. Satishkumar
Mahadevappa Mallesh
Lester Frank
BRJ Orthocentre & MAK Hospital, Coimbatore, India
10.22038/abjs.2024.80084.3664
Abstract
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
Keywords
Intrafocal pinning
Kapandji leverage technique
Percutaneous pinning
Supracondylar fracture humerus
Subjects
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The Archives of Bone and Joint Surgery
Volume 12, Issue 12
December 2024
Pages 869-873

  • Receive Date 18 June 2024
  • Revise Date 25 July 2024
  • Accept Date 17 July 2024