Infection Rates for Open Distal Phalangeal Fractures Treated with Kirschner Wire: A UK Regional Hand Centre Experience

2021 ◽  
Author(s):  
Shazrinizam Shaharan ◽  
Timothy Bage ◽  
Jennifer Wright ◽  
Elliott Smock ◽  
Robert Pearl
Keyword(s):  
Kirschner Wire ◽  
Infection Rates ◽  
Phalangeal Fractures

scholarly journals Clinico-Epidemiological Study of Intraarticular Phalangeal Fractures in Eastern Nepal

2015 ◽  
Vol 12 (1) ◽  
pp. 29-32
Author(s):  
Guru Prasad Khanal ◽  
R Rijal ◽  
B P Shrestha ◽  
P Chaudhary ◽  
R Maharjan ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Open Fracture ◽  
Kirschner Wire ◽  
Proximal Phalanx ◽  
Wound Debridement ◽  
Young Males ◽  
Intraarticular Fractures ◽  
Kirschner Wire Fixation ◽  
Set Up ◽  
Phalangeal Fractures

Background: Fractures and dislocations of the hand are the most common injuries seen in emergency departments. Intraarticular fractures have worst functional outcomes if not managed properly. Objective: To find out the incidence and pattern of intra articular phalangeal fractures in the eastern part of Nepal Methods: Patients presenting at Emergency department of B.P.Koirala institute of Health Sciences between 1st January 2009 and 31st December 2009 and who were diagnosed as phalangeal fractures of hand were included in the study. These patients were reviewed for age at time of injury, gender, location of the incident, mechanism of injury, site of injury, side, hand dominance and mode of treatment. Results: One hundred and one patients were included in the study after excluding twenty patients with other associated injuries like head injury (6), poly trauma (10) or those not giving consent (4). The age ranged from 3 to 76 years. Among them male were 79.2%. Farm related injuries were the most common cause in both the sexes. Left side was the most involved side. Most of the patients attended hospital more than 4 hours after injury. Among them 74% had open fracture. Proximal phalanx was involved in 54.4% of cases. Pattern of involvement was mostly oblique and transverse. Most of the patients were undergone wound debridement and Kirschner wire fixation. Conclusion: Farm related and household events are commonest causes of hand injuries with intraarticular phalangeal fractures in our set up. Young males belonging to economically productive age group are mostly affected by these fractures.DOI: http://dx.doi.org/10.3126/hren.v12i1.11982Health Renaissance 2014;12(1):29-32

INTERNAL FIXATION WITH THE LOW PROFILE PLATE SYSTEM COMPARED WITH KIRSCHNER WIRE FIXATION: CLINICAL RESULTS OF TREATMENT FOR METACARPAL AND PHALANGEAL FRACTURES

Hand Surgery ◽  
2010 ◽  
Vol 15 (01) ◽  
pp. 1-6 ◽  
Author(s):  
Hidetake Takigami ◽  
Hiroaki Sakano ◽  
Tomoyuki Saito
Keyword(s):  
Kirschner Wire ◽  
Clinical Results ◽  
Delayed Union ◽  
Non Union ◽  
Results Of Treatment ◽  
Kirschner Wire Fixation ◽  
Active Flexion ◽  
Low Profile ◽  
Screw Breakage ◽  
Phalangeal Fractures

A total of 71 patients with 78 metacarpal or phalangeal fractures were treated using one of two different methods of fixation. Thirty-nine fingers were treated using a low profile plate and screw system (LPP group), whereas 39 fingers were treated using Kirschner wire (K-wire group). In the LPP group, three cases of screw breakage were recorded. The LPP group required use of a splint for 0.9 weeks, significantly less than the 4.4 weeks of the K-wire group. The mean of 2.6 ± 1.6 months for the time to union in the LPP group was significantly greater than the 1.6 ± 0.6 months in the K-wire group. There were no instances of non-union in both groups, but one delayed union was observed in the LPP group. Total active flexion was 235° and 243° in the LPP and the K-wire groups, respectively. Total extension loss was 12° and 9° in the LPP and the K-wire groups, respectively. Although use of either method resulted in a good range of motion, LPP fixation required a much shorter time with a splint. However, because of the possibility of screw breakage, we have to exercise caution with post-operative treatment.

Comparative mechanical properties of various Kirschner wire configurations in transverse and oblique phalangeal fractures

1988 ◽  
Vol 13 (2) ◽  
pp. 246-253 ◽  
Author(s):  
Steven F. Viegas ◽  
Edwin L. Ferren ◽  
James Self ◽  
Allan F. Tencer
Keyword(s):  
Mechanical Properties ◽  
Kirschner Wire ◽  
Phalangeal Fractures

Treatment of nonunions of the distal phalanx with olecranon bone graft

2009 ◽  
Vol 34 (5) ◽  
pp. 638-642 ◽  
Author(s):  
İ. B. ÖZÇELIK ◽  
F. KABAKAS ◽  
B. MERSA ◽  
H. PURISA ◽  
İ. SEZER ◽  
...  
Keyword(s):  
Bone Graft ◽  
Donor Site ◽  
Kirschner Wire ◽  
Distal Phalanx ◽  
Kirschner Wire Fixation ◽  
Clinical Pain ◽  
Initial Injury ◽  
Phalangeal Fractures ◽  
Radiological Union

Distal phalangeal fractures are the most common fractures of the hand but nonunions are unusual in the distal phalanx. Eleven patients were operated on for nonunions of the distal phalanx. The diagnosis of nonunion was made by the presence of the clinical (pain, deformity, instability) and radiological signs of nonunion more than 4 months after the initial injury. Three patients had developed infection and four of them had bone resorption after their initial treatments, which probably caused nonunion. Olecranon bone grafting combined with Kirschner wire fixation was done in all patients. The mean follow up was 7 months (range 5–18 months). There were no major complications at the donor or recipient sites. One patient had a haematoma formation at the donor site. There was complete radiological union of bone-grafted sites in all patients except one. There were no cases of pain, deformity, or instability after the treatment. The olecranon bone graft was found to be safe and easy to harvest. Its strong tubular structure replaced the distal phalanx successfully.

scholarly journals Operative treatment of metacarpal and phalangeal fractures with Kirschner wire fixation: A review

2013 ◽  
Vol 60 (2) ◽  
pp. 49-52 ◽  
Author(s):  
Tomislav Palibrk ◽  
Aleksandar Lesic ◽  
Sladjana Andjelkovic ◽  
Ivan Milosevic ◽  
Rodoljub Stefanovic ◽  
...  
Keyword(s):  
Hand Function ◽  
Operative Procedure ◽  
Kirschner Wire ◽  
Early Mobilization ◽  
Kirschner Wire Fixation ◽  
Hand Fractures ◽  
Wire Fixation ◽  
Hand Fracture ◽  
Excellent Functional Result ◽  
Phalangeal Fractures

Although hand fractures are most common fractures treated in orthopedic practice, many practicians treat them as trivial injuries. Improperly managed they can cause consequences and impair hand function. Metacarpal and phalangeal fractures are classified based on geometry, anatomic localization and wound presence and treatment depend on mechanism of injury. Many of them can be treated nonoperatively with reposition and immobilization, but in some cases osteosynthesis is a method of choice. Surgeon can choose various range of fixation material, and choice depends on fracture type and surgeons affinity. Kirschner wire fixation is one of the most frequently used operative procedure for hand fracture treatment. It provides good stability, early mobilization and excellent functional result.

Treatment of Phalangeal Fractures in Severely Injured Hands

2001 ◽  
Vol 26 (2) ◽  
pp. 108-111 ◽  
Author(s):  
F. J. T. VAN OOSTEROM ◽  
G. J. V. BRETE ◽  
C. OZDEMIR ◽  
S. E. R. HOVIUS
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Bone Loss ◽  
Vascular Injury ◽  
Statistical Correlation ◽  
Severely Injured ◽  
Infection Rates ◽  
Segmental Bone ◽  
Phalangeal Fractures

This retrospective study was performed to assess the incidence of complications of operative treatment of phalangeal fractures. Risk factors for the development of complications were also investigated. Records and radiographs of 350 patients with 666 operatively treated phalangeal fractures were studied. Minimum follow-up was 1 year. A total of 176 fractured fingers were amputated primarily or secondarily, leaving 490 fractures for follow-up. Ninety-three fractures were treated conservatively. Nonunion necessitating reoperation developed in 6% (31/490) of fractures, malunion in 9% (44/490) and infection in 2% (8/490). Infection, segmental bone loss and (neuro)vascular injury predisposed to nonunion and replantation predisposed to malunion. There was a statistical correlation between the use of external fixation and malunion. Nonunion, malunion, and infection rates were similar to other studies.

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