Distal radius fracture: Kapandji (intrafocal) pinning technique

Abstract

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. Original indications for intrafocal pinning included displaced extraarticular distal radius fractures with large fragments, minimal comminution, and good bone quality. Overall the results of intrafocal pinning have been good and when indicated is an excellent option for distal radius fracture treatment.