scholarly journals Anchor and Krackow‐“8” Suture for the Fixation of Distal Pole Fractures of the Patella: Comparison to Kirschner Wire

2021 ◽  
Author(s):  
Jia Xie ◽  
Yu Fu ◽  
Jun Li ◽  
Hao Yu ◽  
Yong Zhang ◽  
...  
Keyword(s):  
Kirschner Wire ◽  
Distal Pole

Stabilization of a Physeal Fracture Using an Orthofix® Partially-threaded Kirschner Wire

1999 ◽  
Vol 12 (02) ◽  
pp. 88-91 ◽  
Author(s):  
D. D. Lewis ◽  
Susan M. Newell ◽  
O. I. Lanz
Keyword(s):  
Internal Fixation ◽  
Successful Treatment ◽  
Kirschner Wire ◽  
Clinical Results ◽  
Rigid Internal Fixation ◽  
Physeal Fracture ◽  
Type Iv ◽  
Salter Harris ◽  
Condylar Fractures

Successful treatment of humeral condylar fractures requires accurate reduction and rigid internal fixation which can be difficult to achieve in toy and/or miniature breed dogs. Stabilization of a Salter-Harris type IV physeal fracture of the numeral condyle was simplified by using Orthofix® partially-threaded Kirschner wire and provided excellent clinical results in a 1.5 kg miniature pinscher

Effect of K-wire Reuse and Drill Mode on Heat Generation in Bone

Hand ◽  
2021 ◽  
pp. 155894472110031
Author(s):  
Muturi G. Muriuki ◽  
Arun K. Reddy ◽  
Alex Tauchen ◽  
Robert M. Havey ◽  
Avinash G. Patwardhan ◽  
...  
Keyword(s):  
Cell Death ◽  
Cortical Bone ◽  
Heat Generation ◽  
Kirschner Wire ◽  
Heat Exposure ◽  
Critical Temperatures ◽  
Rotary Drilling ◽  
External Cooling ◽  
K Wires ◽  
Oscillating Mode

Background We examined the effect of Kirschner wire (K-wire) reuse and use of oscillating mode on heat generation within cortical bone. Methods Two trocar-tipped K-wires were drilled through the diaphysis of each of 30 human metacarpals and phalanges: one K-wire was inserted in rotary mode and another in oscillating mode. Each wire was reused once. Thermocouples placed within the dorsal and volar bone adjacent to the K-wire drill path measured temperatures throughout each test. Results Peak cortex temperatures were 25°C to 164°C. Rotary drilling achieves peak temperatures quicker (31 ± 78 seconds vs 44 ± 78 seconds, P = .19) than oscillating drilling, but insertion time is also less, resulting in lower overall heat exposure. This effect is also seen when the K-wire is reused (34 ± 70 seconds vs 41 ± 85 seconds, P = .4). The length of time that cortical bone was exposed to critical temperatures (47°C or more) was significantly higher when a wire was reused (36 ± 72 seconds vs 43 ± 82 seconds, P = .008). Peak temperatures greater than 70°C (a temperature associated with instantaneous cell death) were observed on many occasions. Conclusions Overall heat exposure may be higher if a K-wire is reused or inserted in oscillating mode. In the absence of external cooling, K-wire insertion into cortical bone can easily expose bone to temperatures that exceed 70°C and may increase the risk of osteonecrosis.

Preliminary Report of Arthroscopically Assisted Sauvé–Kapandji Procedure for Distal Radioulnar Joint Arthritis

2021 ◽  
Author(s):  
Yukio Abe ◽  
Youhei Takahashi ◽  
Kenzo Fujii
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Contralateral Side ◽  
Level Of Evidence ◽  
Radioulnar Joint ◽  
Advantages And Disadvantages ◽  
Arthroscopically Assisted ◽  
Therapeutic Study

Abstract Background The arthroscopically assisted Sauvé–Kapandji (S-K) procedure has been described as a safe and promising technique for distal radioulnar joint (DRUJ) arthrodesis. Our purpose was to investigate the advantages and disadvantages of the arthroscopically assisted S-K procedure. Methods Eight patients underwent an arthroscopically assisted S-K procedure. All patients were diagnosed as DRUJ osteoarthritis (OA), including six primary DRUJ OA, one OA following a distal radius fracture, and one rheumatoid arthritis (RA). Arthroscopy was performed in neutral forearm rotation with vertical traction. The surface of the DRUJ was debrided through arthroscopy to expose the subchondral surface, and the DRUJ was fixed with a cannulated screw and Kirschner wire (K-wire) with zero or minus ulnar variance in the same posture. Bone graft was not performed. Results Bone union was achieved at 2 to 3.5 months postoperatively. At an average of 17-month follow-up, the pain intensity on 10-point numerical rating scale (NRS) decreased from 10 preoperatively to 0.4 postoperatively, average range of pronation significantly improved from 77 degrees to 89 degrees, and average grip strength as a percentage of contralateral side improved from 76 to 104%. Conclusion Satisfactory outcomes were achieved with the arthroscopically assisted S-K procedure. Advantages of this procedure included the ability to achieve union without bone grafting, preservation of the extensor mechanism integrity, and easy reduction of the ulnar head due to its wrist positioning. No major complications were encountered. Disadvantages included its required use of arthroscopic technique and potential contraindication for cases with severe deformity at the sigmoid notch. Level of Evidence This is a Level IV, therapeutic study.

Staged Management of Severely Displaced Calcaneal Fractures With Transarticular Pinning: A Damage Control Strategy

2021 ◽  
pp. 107110072110130
Author(s):  
Kyeong-Hyeon Park ◽  
Chang-Wug Oh ◽  
Joon-Woo Kim ◽  
Hee-June Kim ◽  
Dong-Hyun Kim ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Kirschner Wire ◽  
Wound Complications ◽  
Calcaneal Fractures ◽  
Simple Method ◽  
Wire Fixation ◽  
The Mean ◽  
Radiographic Union

Background: Severely displaced calcaneal fractures can result in considerable morphology derangement and may be accompanied by soft tissue compromise. Delayed operative restoration of the calcaneal morphology may result in acute retensioning of the damaged soft tissue with associated wound-related complications. In this study, we describe a staged treatment of displaced intra-articular calcaneal fractures that uses temporary transarticular Kirschner wire (K-wire) fixation and staged conversion to definite fixation. Methods: We identified all of the patients who were treated at our institution for calcaneal fractures between 2015 and 2019. A total of 17 patients with 20 calcaneal fractures were selectively treated with 2-stage management. Temporary transarticular K-wire fixation was performed 24 hours after the injury to restore calcaneal morphology and the surrounding soft tissue. After the soft tissue was considered safe, delayed open reduction and internal fixation was performed. The time to definite surgery, radiographic alignment, wound complications, time to radiographic union, and hindfoot American Orthopaedic Foot & Ankle Society (AOFAS) scores were recorded. Results: The average follow-up period was 17 months (range, 12-43). The average Böhler angle increased from a mean of −22 degrees (range, −109 to 25) to 25 degrees (range, 0 to 47) after temporary transarticular K-wire fixation. The mean time from temporary pinning to conversion to definite internal fixation was 20 (range, 10-32) days. There were no immediate postoperative complications. The average time to radiographic union was 13.7 (range, 10-16) weeks. The mean AOFAS score was 87 (range, 55-100). No infections or wound complications were reported during the follow-up period. Conclusion: Temporary transarticular pinning for staged calcaneal fracture treatment is safe and effective in restoring the calcaneal morphology. This novel and relatively simple method may facilitate delayed operation and decrease wound-related complications. Level of Evidence: Level IV, retrospective case series.

scholarly journals Patella Distal Pole Fracture Treated Using Ipsilateral Hamstring Autograft Augmentation and No Additional Hardware

2020 ◽  
Author(s):  
Yassine Bulaïd ◽  
Maxime Fabre ◽  
Sébastien Parratte ◽  
Jean-Noël Argenson ◽  
Matthieu Ollivier
Keyword(s):  
Hamstring Autograft ◽  
Distal Pole ◽  
Additional Hardware

Results of small-joint arthrodesis: Comparison of Kirschner wire fixation with tension band wire technique

1992 ◽  
Vol 17 (5) ◽  
pp. 952-956 ◽  
Author(s):  
C.B. Ijsselstein ◽  
D.B. van Egmond ◽  
S.E.R. Hovius ◽  
J.C. van der Meulen
Keyword(s):  
Kirschner Wire ◽  
Tension Band ◽  
Tension Band Wire ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Small Joint

scholarly journals Antegrade intramedullary fixation for adolescent fifth metacarpal neck fracture and its impact on epiphyseal growth

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xiao-Lei Fan ◽  
Jian Wang ◽  
De-Hua Zhang ◽  
Feng Mao ◽  
Yi Liao ◽  
...  
Keyword(s):  
Grip Strength ◽  
Skeletal Maturity ◽  
Kirschner Wire ◽  
Intramedullary Fixation ◽  
Dash Score ◽  
Reliable Technique ◽  
Dorsal Angulation ◽  
Neck Fracture ◽  
The Mean ◽  
The Impact

Abstract Background Antegrade intramedullary nailing (AIMN) with Kirschner wire (K-wire) is a minimally invasive osteosynthesis technique. This procedure has been widely performed to treat the fifth metacarpal neck fracture (FMNF) in adults. This study was performed to determine whether using AIMN with a single K-wire to treat FMNF in adolescents would have good clinical and radiographic outcomes. Methods In this retrospective study, 21 children (aged 11–16 years) with FMNF were treated using AIMN with a single K-wire from May 2017 to January 2020 in our hospital. Indications for intervention were severe displacement with malrotation deformity, apex dorsal angulation of greater than 40°, or both. Collected data included apex dorsal angulation, range of motion (ROM) in the fifth metacarpophalangeal (MCP) joint, Visual Analog Scale (VAS) for pain, grip strength, and Disabilities of the Arm, Shoulder, and Hand (DASH) score. Results All patients were followed up for 12–24 months (average, 16.57 months), and all patients obtained anatomical reduction postoperatively. The healing time was 2.69 ± 0.83 months (range, 2–4 months). Average apex dorsal angulation was reduced significantly from 44.49°±2.64° to 15.74°±2.47° (P < 0.001). The average ROM in the MCP joint and apex dorsal angulation of the injured side were not significantly different from those of the uninjured side. The average DASH score was 1.76 ± 1.48 (range, 0–4), the mean VAS was 0.19 ± 0.60 (range, 0–2), and the mean grip strength was 91.55 %±4.52 % (range, 85–101 %). No secondary displacement, dysfunction, nonunion, infection, or osteonecrosis was observed during the follow-up. Although premature epiphyseal closure was found in one patient, no long-term clinical finding of angulation or shortening was identified. Conclusions Antegrade intramedullary fixation with single K-wire was an effective and reliable technique that successfully resulted in good functional and cosmetic outcomes for treating adolescents with FMNF. The impact on the growth plate was low in this population given that most patients were at or approaching skeletal maturity. Level of evidence Level IV.

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