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KMID : 0621520130180030124
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Journal of the Korean Society for Surgery of the Hand
2013 Volume.18 No. 3 p.124 ~ p.131
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Percutaneous Multiple Kirschner Wire Fixation in the Treatment of Hand Fractures
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Hong Seong-Jae
Seo Hyung-Gyo
Whang Jong-Ick
Cho Sang-Hun
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Abstract
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Purpose: We reported results of percutaneous multiple K-wire fixation techniquewithout passing through the joint in patients with a hand fracture.
Methods: We evaluated a total of 116 cases in 94 patients who underwent percutaneousmultiple K-wire fixation on dorsal cortex over a 10-year periodbetween 2001 and 2010. The treatment outcomes were evaluated based on totalactive motion (TAM), as proposed by Widegrow.
Results: Our clinical series of patients achieved good functional outcomes. Oftotal patients, 89% (84/94) had excellent TAM, 2% (2/94) did good TAM and 9%(8/94) did poor TAM. Postoperatively, our clinical series of patients had such agood compliance as to achieve a TAM of >181 when performing the early activemovement. There were no notable postoperative complications during the follow-up period.
Conclusion: Our results indicate that percutaneous multiple K-wire fixationtechnique without passing through the joint from normal bone density patientsis effective in providing the rigid fixation. Thus, our patients could perform theearly movement as promptly as possible and maintaining the full mobility of therest of the hand.
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KEYWORD
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Hand , Fractures , bone , Fracture fixation , Bone wires , Motion
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