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KMID : 1143020210260030171
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Archives of Hand and Microsurgery
2021 Volume.26 No. 3 p.171 ~ p.173
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Broken Kirschner Wire in Distal Interphalangeal Joint Fixation: A Case Report
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Lee Kyung-Jin
Park Jung-Hyun
Koh Sung-Hoon
Lee Dong-Chul
Roh Si-Young
Kim Jin-Soo
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Abstract
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Kirschner wire (K-wire) has been widely used for treatment of fracture for its cost-effectiveness and reliability. This case presents the K-wire breakage in distal interphalangeal joint (DIPJ) fixation. A 55-year-old male patient was injured by a knife and showed rupture of extensor tendon at 1/2 of middle phalanx. A 0.9-mm K-wire was implemented for DIPJ extension, and tenorrhaphy was done. After 6 weeks, we detected breakage of K-wire in the follow-up X-ray. The broken K-wire in the distal phalanx was removed. We removed the remaining K-wire through an incision on volar side of middle phalanx under C-arm after 2 weeks for the patient’s personal reasons. Breakage during postoperative K-wire maintenance is exceedingly rare. This patient is presumed to have ruptured because he continued using his finger. Therefore, while K-wire is present, continued use of finger without protection may cause breakage, so protective measures such as splint are required.
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KEYWORD
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Bone wires, Equipment failure, Fingers
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FullTexts / Linksout information
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Listed journal information
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