Complications of K-wire fixation of fractures and dislocations in the handand wrist

Citation
S. Stahl et O. Schwartz, Complications of K-wire fixation of fractures and dislocations in the handand wrist, ARCH ORTHOP, 121(9), 2001, pp. 527-530
Citations number
10
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN journal
0936-8051 → ACNP
Volume
121
Issue
9
Year of publication
2001
Pages
527 - 530
Database
ISI
SICI code
0936-8051(200110)121:9<527:COKFOF>2.0.ZU;2-N
Abstract
Kirschner wire (K-wire) fixation of fractures and dislocations of the hand and wrist is a common procedure. Of the 590 K-wire fixations performed on 2 36 patients, 36 (15.2%) experienced complications which included osteomyeli tis, tendon rupture, nerve lesion, pin tract infection, pin loosening or mi gration. There were no deep soft-tissue pin infections or pyarthrosis. Tech nical failure, mainly when the procedure was performed by residents, and po or patient compliance were the major causes of complications. K-wire fixati on is a simple but demanding procedure that cannot be left to an inexperien ced resident. Elimination of technical failure, supervision in the operatin g room, close monitoring, prompt treatment upon discovery of a complication , and improvement of patient compliance can reduce the rate of complication s.