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Using a curved Kirschner wire for fixation of unstable distal radius fractures in children

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Author(s): Anand Misra | Ilhan Alcelik | Mohamed Sukeik

Journal: Surgical Techniques Development
ISSN 2038-9574

Volume: 1;
Issue: 2;
Start page: e24;
Date: 2011;
Original page

Keywords: unstable | distal radius fracture | K wires.

ABSTRACT
Displaced metaphyseal and diaphyseal fractures of the distal radius are common in children. Using a plate-screw construct necessitates open reduction and a second operation to remove the metal work. Using a percutaneous Kirschner (K) wire can be attempted closed with an added advantage of a relatively minor procedure to remove the wire after fracture healing. However, using a straight wire may often be challenging due to the shallow angle the K wire needs to pass in order to engage the proximal fragment. Skin pressure and necrosis may also result at the insertion point. Rigidity of the K wire may result in ulnar deviation of the distal fragment and engaging the proximal fragment with a straight wire often necessitates starting the entry point at the tip of the radial styloid and thereby having to transgress the radial epiphysis (Figure 1).
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