Eur J Plast Surg (2003) 26:78 DOI 10.1007/s00238-003-0488-7 AUTHOR’S REPLY Bernd Rieck Reply to comments on “A novel device for the application of Kirschner wires: improvements, more applications, and clinical experience”, by Hovius and Evans Published online: 21 March 2003 © Springer-Verlag 2003 I wish to thank Professor Hovius for his detailed com- ter starting with the hand drill device. This is less prob- mentary that confirms the indication for this device. lematic with smaller wires because the drilling resis- Professor Hovius also stressed the most critical point of tance decreases with the diameter whereas the torque re- this hand drill: the lag screw. It may indeed happen that mains practically the same. Lateral instability was not of the torque of the wire provided by the lag screw is in- practical concern down to a diameter of 0.6 mm because sufficient in very hard bone such as carpal bones (as the wire is guided well by the overall length of the in- stated in the article). This is one of the rare occasions in strument. Loosening and tightening of a K-wire during which it may be necessary to switch to a power drill af- small fragment fixation is easier than it may seem and requires little training. Especially in this point, delicate handling of the fragments is enhanced by this handy in- This reply refers to the two invited commentaries that can be strument. found at http://dx.doi.org/10.1007/s00238-003-0486-9 and http:// I also thank Dr. Evans his shorter commentary, as dx.doi.org/10.1007/s00238-003-0487-8 well. Dr. Evans points out the simplicity of the instru- B. Rieck ( ) ment, and this is, together with the low costs, of course, Klinik für Plastische Chirurgie und Handchirurgie, the most attractive “pro”. There are no doubt fantastic Städtisches Krankenhaus Hildesheim, machines available (my clinic owns some of these), but Weinberg 1, 31134 Hildesheim, Germany often this little easy device performs very well, and the e-mail: firstname.lastname@example.org Tel.: +49-5121-894794, Fax: +49-5121-894855 budget managers and nurses love it as much as I do.
European Journal of Plastic Surgery – Springer Journals
Published: May 1, 2003
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