Greatting M D, Bishop A T
Division of Orthopedics, Rehabilitation, and Plastic and Reconstructive Surgery, Southern Illinois University School of Medicine, Springfield.
Orthop Clin North Am. 1993 Apr;24(2):301-7.
Intrafocal pinning of distal radius fractures was described first by Kapandji in 1976. The technique has been used widely in Europe but remains relatively unknown in the United States. It is indicated in unstable distal radius fractures without significant intra-articular displacement. This article provides a review of the European experience, a description of the surgical technique, and an analysis of our own clinical series. Intrafocal pinning works best in patients less than 65 years of age, for the fracture patterns described previously. It provides the surgeon with a simple and effective, minimally invasive method of improving alignment and stability of unstable fractures.
1976年，卡潘迪首次描述了桡骨远端骨折的病灶内穿针固定术。该技术在欧洲已得到广泛应用，但在美国仍相对鲜为人知。它适用于无明显关节内移位的不稳定桡骨远端骨折。本文回顾了欧洲的经验，描述了手术技术，并分析了我们自己的临床系列。对于之前描述的骨折类型，病灶内穿针固定术在65岁以下的患者中效果最佳。它为外科医生提供了一种简单有效的微创方法，可改善不稳定骨折的对线和稳定性。
