Eur J Plast Surg (2010) 33:307 DOI 10.1007/s00238-010-0459-8 LETTER TO THE EDITOR A simple method to optimise Kirschner wire fixation of hand fractures Waseem Bhat & David Mather Received: 2 May 2010 /Accepted: 24 May 2010 /Published online: 19 June 2010 Springer-Verlag 2010 Sir, Kirschner (K-) wiring is a simple but effective method for holding hand fractures in a reduced position, allowing mobilisation. While placing K-wires, it is of paramount importance to get the path of the wire correct to provide optimum fracture reduction whilst subjecting the tissues to minimal heating . We present a simple method to aid the accurate placement of wires with minimal attempts. A K-wire is used to map out the desired orientation to the wire (Fig. 1) with the aid of X-ray. A marker pen is then used to draw this line on the skin (Fig. 1). The wire is then placed percutaneously using the pen mark as an aid to the three-dimensional spatial awareness needed for competent positioning. The combination of the two-dimensional image and the Fig. 1 K-wire placed over fractured phalanx to mark out desired addition of tactile “feel” give the surgeon a better idea of direction of placement. Direction of K-wire marked on to skin with pen wire direction, hopefully eliminating repeated passes of the wire into the bone. We have found this method to be a If after visualisation under the image intensifier the useful way to give confidence to the junior surgeon under position is suboptimal, the external lines act as a reference supervision and may be used to construct a plan for more as to where the wire should go. difficult fractures. Conflict of interest We declare no conflict of interest (personal or financial) in the publication of this paper. W. Bhat D. Mather Castle Hill Hospital, Hull, Cottingham, UK References W. Bhat (*) 8 Nook Green, 1. Matthews LS, Green CA, Goldstein SA (1984) The thermal effects Wakefield WF3 1ER, UK of skeletal fixation-pin insertion in bone. J Bone Joint Surg Am 66 e-mail: email@example.com (7):1077–1083
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2010
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.
All for just $49/month
Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.
Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.
It’s easy to organize your research with our built-in tools.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera