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KMID : 0621520080130010032
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Journal of the Korean Society for Surgery of the Hand
2008 Volume.13 No. 1 p.32 ~ p.36
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The Effect of Treatment for Various Fractures Using a Knotted Hook-wire
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Rhee Seung-Koo
Song Seok-Whan
Kwon Soon-Yong
Bae Man-Kue
Won Eun-Young
Lee Sang-Wook
Park Beom-Seok
Kim Seung-Min
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Abstract
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We analyzed the effect of knotted hook-wire for acute cases of small bone fractures in hand and children.
We made a knotted hook on mid-portion of standard Kirschner’s wire to provide anatomical reduction by manual doctor’s traction on opposite site of fracture and also bend the wire on opposite site and gives some compression by insertion of 1 or 2 buttons. Total 11 cases of intra-articular fracture in hand and children were treated with this knotted hook-wire successfully, and early joint motion could be permitted since 3 days after operation.
These are no cases of loss of fracture reduction, skin necrosis by compression on aluminum splint or button and increased fracture gap after knotted hook-wire fixation. They are all united in 4~6 weeks after operation and showed nearly normal adjacent joint motions. The only disadvantage in this knotted hook-wire fixation was mini-skin incision to remove the hooked nail later.
We designed a knotted hook-wire and found very good results with easy fracture reduction and their maintenance with some compression on fracture site.
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KEYWORD
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Small bone fractures in hand and children, Compression hooked kirschner’s wire
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