Kirschner Wire Fixation of Distal Radius Fractures, Indication, Technique and Outcomes

Hand Clinics ◽  
2021 ◽  
Vol 37 (2) ◽  
pp. 247-258
Author(s):  
Michael B. Gottschalk ◽  
Eric R. Wagner
Keyword(s):  
Distal Radius ◽  
Kirschner Wire ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

scholarly journals INTRA-ARTICULAR DISTAL RADIUS FRACTURES

2015 ◽  
Vol 22 (07) ◽  
pp. 944-948
Author(s):  
Qazi Muhammad Furquan ◽  
Naveed Ahmed Solangi ◽  
Muhammad Bux Chachar ◽  
Ghulam Mustafa Kaimkhani ◽  
Malik Wasim Ahmed ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Kirschner Wire ◽  
Case Series ◽  
Styloid Process ◽  
Distal Radius Fractures ◽  
Study Patient ◽  
Radius Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Objectives: To determine functional outcome of percutaneous Kirschner wirefixation and short arm cast in intra-articular distal radius fractures in patients of 20-70 years.Study Design: Descriptive case series. Setting: Department of Orthopedic Surgery, DowUniversity of Health Sciences / Civil Hospital Karachi. Period: 1st April, 2013 to 30th September,2013. Methods: A total of 62 patients with closed type III distal fractures according to Frykmanclassification were included in this study. Patient lying in supine position and after generalanesthesia, closed reduction was done with the forearm in prone position, aiming to restorenormal anatomical position. Two Kirschner wires were inserted from radial styloid process inparallel and oblique fashion to the medial cortex of the radius and one transversely from lateralto medial for intra-articular fragments. Final functional outcome was assessed after 12 weeks ofsurgery and recorded on pre-designed Proforma. Results: Acceptable functional outcome ofpercutaneous Kirschner wire fixation and short arm cast in intra-articular distal radius fractureswas observed in 80.65% (50/62) cases. Conclusions: It is concluded that functional outcomeof percutaneous Kirschner wire fixation and short arm cast procedure is satisfactory in intraarticulardistal radius fractures and it appears to be an easy, technically less demanding andeffective method for stabilization, so this procedure can be applied for patients with thesefractures.

scholarly journals Infection Rate of Percutaneous Kirschner Wire Fixation for Distal Radius Fractures

2010 ◽  
Vol 18 (1) ◽  
pp. 85-86 ◽  
Author(s):  
Palaniappan Lakshmanan ◽  
Varun Dixit ◽  
Mike R Reed ◽  
Joel Lester Sher
Keyword(s):  
Infection Rate ◽  
Distal Radius ◽  
Kirschner Wire ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Complications of Kirschner-wire Fixation in Distal Radius Fractures

2012 ◽  
Vol 16 (3) ◽  
pp. 120-123 ◽  
Author(s):  
Padmanabhan Subramanian ◽  
Shanjitha Kantharuban ◽  
Sophie Shilston ◽  
Oliver James Pearce
Keyword(s):  
Distal Radius ◽  
Kirschner Wire ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Kirschner Wire Fixation in Dorsally Displaced Distal Radius Fractures: A Biomechanical Evaluation

2021 ◽  
Author(s):  
Liam Sanders ◽  
Nick Johnson ◽  
Joseph J. Dias
Keyword(s):  
Axial Compression ◽  
Distal Radius ◽  
Kirschner Wire ◽  
Distal Radius Fractures ◽  
Power Calculation ◽  
Radius Fractures ◽  
Kirschner Wire Fixation ◽  
Load To Failure ◽  
K Wires ◽  
Cantilever Bending

Abstract Background There is currently no consensus for the optimum configuration and number of Kirschner wires (K-wires) to use for the stabilization of dorsally displaced distal radius fractures. In this biomechanical study, we compared the load to failure and stiffness of four common K-wire configurations to identify the strongest construct for use in extra-articular dorsally displaced distal radius fractures. Case Description We created a standard distal radius fracture model in turkey tarsometatarsi which was stabilized using two or three K-wires (1.6 mm) in four different configurations. Following a power calculation, 10 fracture models of each configuration underwent testing in cantilever bending and axial compression. Literature Review Recent randomized trials have shown no evidence that volar locking plates are superior to K-wires for the treatment of dorsally displaced distal radius fractures. This has led to an increase in the popularity of much cheaper K-wires. Several different K-wire techniques have been described but there is no strong evidence to determine which is the optimal configuration and number of wires. Clinical Relevance The three-wire interfragmentary configuration was stiffer than the three-wire Kapandji in axial compression and cantilever bending. There was no difference in load to failure in cantilever bending or axial compression. The three-wire interfragmentary technique is the stiffest configuration of K-wires for dorsally displaced distal radius fractures. The two-wire Kapandji technique was significantly weaker than the other configurations, especially in cantilever bending. Conclusion The authors recommend to always use three wires for percutaneous pinning and never to use two intrafocal wires alone.

scholarly journals Technique for Intramedullary Stabilization of Ulnar Neck Fractures

Hand ◽  
2017 ◽  
Vol 13 (5) ◽  
pp. 563-571
Author(s):  
Jack Abboudi ◽  
Scott M. Sandilands ◽  
C. Edward Hoffler ◽  
William Kirkpatrick ◽  
William Emper
Keyword(s):  
Distal Radius ◽  
Kirschner Wire ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Distal Radial Fractures ◽  
Percutaneous Approach ◽  
Intramedullary Stabilization ◽  
Ulna Fractures ◽  
Neck Fracture ◽  
Reproducible Method

Background: Distal ulna fractures at the ulnar neck can be seen in association with distal radius fractures, and multiple techniques have been described to address the ulnar neck component of these injuries. We have found that treatment of ulnar neck fractures can be challenging in terms of anatomy and fracture fixation. We present a new percutaneous fixation technique for ulnar neck fractures commonly seen with distal radius fractures. Technique: Fixation of the ulnar neck fracture is performed after fixation of the distal radius fracture. Our technique uses anterograde intramedullary fixation to stabilize the fracture with a 1.6-mm (0.062 inch) Kirschner wire or a commercially available metacarpal fixation intramedullary nail. The fixation is introduced into the intramedullary space of the ulnar shaft 4 to 6 cm proximal to the fracture at a separate surgical site along the subcutaneous border of the ulna. The fixation is also supported with a sugar-tong splint for the first few weeks after surgery and requires removal of the ulnar implant approximately 10 weeks after implantation. Conclusion: Our technique utilizes a percutaneous approach with minimal fracture exposure. It provides a relatively simple and reproducible method to address ulnar neck fractures commonly seen in association with distal radial fractures.

Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis

2013 ◽  
Vol 26 (4) ◽  
pp. 248
Author(s):  
Ki-Chan An ◽  
Gyu-Min Kong ◽  
Jang-Seok Choi ◽  
Hi-Chul Gwak ◽  
Joo-Yong Kim ◽  
...  
Keyword(s):  
Distal Radius ◽  
Functional Outcomes ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Wire Fixation
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