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Treatment Outcome of 2nd to 5th Metacarpal Fractures: Kirschner Wires Versus Intramedullary Screws.
J Clin Med
December 2024
Department of Plastic and Hand Surgery, University Hospital of Basel, 4031 Basel, Switzerland.
: Most metacarpal fractures are isolated, simple, closed, and stable fractures and located distally. They are often caused by accidental falls, strikes by humans, by objects or traffic accidents. The majority can be treated conservatively.
View Article and Find Full Text PDFBiomechanical assessment of Kirschner wires integrated with a novel external fixation device for treatment of pediatric supracondylar humeral fracture: a finite element analysis.
Front Bioeng Biotechnol
December 2024
Bone and Joint Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Background: Pediatric supracondylar humeral fractures present considerable surgical challenges due to the difficulty of achieving proper fracture alignment and stable fixation while avoiding injury to the ulnar nerve. This study assesses the biomechanical performance of a novel Kirschner wire (K-wire) fixation device (KFD), designed to enhance stability and reduce complications linked to traditional K-wire configurations.
Methods: Using finite element analysis (FEA), we evaluated four fixation strategies for treatment of pediatric supracondylar humeral simple transverse fractures: crossed pin fixation, crossed pin fixation with KFD, two lateral pin fixation, and two lateral pin fixation with KFD, under various mechanical loads.
The Rule of Fours-Clinical and Radiographic Parameters for Trans-articular Distal Interphalangeal Joint Kirschner Wire Insertion.
Ann Plast Surg
November 2024
Department of Orthopaedic Surgery, Gold Coast University Hospital, Queensland, Australia.
Article Synopsis
- Distal phalangeal and interphalangeal joint injuries are common and can create significant challenges for individuals and healthcare systems, often requiring K-wire fixation to maintain alignment.
- This study aimed to identify soft tissue and radiographic landmarks for optimal K-wire placement at the distal interphalangeal joint (DIPJ) through a retrospective analysis of 100 lateral phalangeal radiographs.
- Results indicated a 'rule of fours' for ideal entry points during K-wire insertion, suggesting that the entry should be 4 mm from the nail plate's dorsal surface and 40% volar to the soft tissue at the DIPJ crease, enhancing safety and effectiveness without fluoroscopy.
Suture fixation versus tension band wiring in simple displaced olecranon fractures - a study protocol.
Dan Med J
October 2024
Department of Orthopaedic Surgery, Horsens Regional Hospital, Denmark.
Introduction: Olecranon fractures, particularly the Mayo Type 2A two-part fracture, are typically treated with Kirschner wires (K-wires) and tension band wiring. While effective, this method is associated with a high complication risk, leading to reoperations. Recently, new suture fixation techniques have been described that do not involve the insertion of metal.
View Article and Find Full Text PDFApproach to Charcot Neuroarthropathy of the Great Toe: A Case Report.
Cureus
October 2024
Orthopaedics, Dr. D.Y.Patil Medical College, Hospital and Research Centre, Dr. D.Y.Patil Vidyapeeth (Deemed to be University), Pune, IND.
Charcot neuroarthropathy (CN) is a chronic progressive debilitating disease affecting joints, bone and soft tissue of an insensate limb, usually seen in patients with diabetes. CN of the great toe is rare or it may be associated with CN of other joints. Only a few cases have been reported on the CN of the great toe.
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