Buried Kirschner wires in hand trauma

Buried Kirschner wires in hand trauma There has been little research comparing rates of infectious complications between buried and percutaneous Kirschner wire (K-wire) use in hand trauma surgery. The additional cost of removing buried wires should be justified by a demonstrable reduction in the frequency and/or severity of infectious complications. We prospectively collected data on infective complications associated with K-wire use during the course of 1 year at our hand trauma unit. We observed seven (10%) infections in 70 patients where wires were left protruding and three (9%) infections in 34 patients where wires were buried. There was no statistically significant difference in the rate of infectious complications. A cost analysis was performed, taking into account infectious complications and the cost of their management. Burying K-wires resulted in an extra cost of £235.51 per patient compared to £90.80 per patient for percutaneous K-wires. Thus, the use of buried K-wires results in a £144.71 increase in cost per patient. Clinicians should consider these findings, as well as other (medical) considerations, when making the decision whether to bury K-wires. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Buried Kirschner wires in hand trauma

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Publisher
Springer-Verlag
Copyright
Copyright © 2012 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-012-0708-0
Publisher site
See Article on Publisher Site

Abstract

There has been little research comparing rates of infectious complications between buried and percutaneous Kirschner wire (K-wire) use in hand trauma surgery. The additional cost of removing buried wires should be justified by a demonstrable reduction in the frequency and/or severity of infectious complications. We prospectively collected data on infective complications associated with K-wire use during the course of 1 year at our hand trauma unit. We observed seven (10%) infections in 70 patients where wires were left protruding and three (9%) infections in 34 patients where wires were buried. There was no statistically significant difference in the rate of infectious complications. A cost analysis was performed, taking into account infectious complications and the cost of their management. Burying K-wires resulted in an extra cost of £235.51 per patient compared to £90.80 per patient for percutaneous K-wires. Thus, the use of buried K-wires results in a £144.71 increase in cost per patient. Clinicians should consider these findings, as well as other (medical) considerations, when making the decision whether to bury K-wires.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Nov 1, 2012

References

  • Toxic shock syndrome due to percutaneous Kirschner wires
    Birdsall, PD; Milne, DD
  • Complications of K-wire fixation and dislocations in the hand and wrist
    Stahl, S; Schwartz, O

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