Sequence of Kapandji intrafocal pinning for a case of distal radius fracture with intra-articular extension.

#orthotwitter #Orthopedics #handsurgery #congenitalhand
The first wire is passed from the dorsum for correcting the dorsal tilt of the ulnar volar fragment.
The second wires is used to hold and correct the radial tilt of the styloid fragment. It is applied from the radial direction.
After this a couple of wires have been added crossing the fracture site.

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More from @Plexusorthoexam

Oct 9
Our technique of managing Camapanacci grade 3 giant cell tumor of distal radius. Whole of the distal radius is excised, the ulna is transferred to the gap and a radioscapholunate fusion is done. This retains some amount of motion in the wrist. #orthotwitter ImageImage
This is an illustration of the same. The ulnar artery connections are maintained while transposing the ulna. #Orthopedics #handsurgery #congenitalhand ImageImageImage
This is a representative radiograph if the same. #giantcelltumor ImageImage
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