[Kapandji pinning in palm tree for fractures of the upper extremity of the humerus]

ABSTRACT

The fractures of the surgical collum of the humerus are frequent. We report a series of 12 cases performed at the department of orthopedic and traumatology surgery of the University Hospital Hassan II of Fes, during the period between 2003 and 2004. The average age of the patients was 44 years old, and most of them were females. The right side is the most affected [71% of the total studied cases]. All the fractures were under displaced tubersoity and closed except one that was opened, consisting of stage [I] of Cauchoix and Duparc. The installation is particular in dorsal decubitus, and the arm was suspended on a gynecological support. The osteosynthesis was unique by pinning in plam tree technique according to the description of Kapandji. The functional results were excellent after an average time of 13 months. Through this work, we point on a technique that is easy and reproducible for the treating fractures of the superior extremity of the humerus, and we describe a particular installation allowing simplification and the obtaining scoped controls of face and profile