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Archives of Orthopaedic and Trauma Surgery

, Volume 121, Issue 9, pp 527–530 | Cite as

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

  • S. Stahl
  • O. Schwartz
Original Article

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 236 patients, 36 (15.2%) experienced complications which included osteomyelitis, tendon rupture, nerve lesion, pin tract infection, pin loosening or migration. There were no deep soft-tissue pin infections or pyarthrosis. Technical failure, mainly when the procedure was performed by residents, and poor patient compliance were the major causes of complications. K-wire fixation is a simple but demanding procedure that cannot be left to an inexperienced resident. Elimination of technical failure, supervision in the operating room, close monitoring, prompt treatment upon discovery of a complication, and improvement of patient compliance can reduce the rate of complications.

Keywords Complications Hand K-wire Wrist 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • S. Stahl
    • 1
  • O. Schwartz
    • 1
  1. 1.Hand Surgery Unit, Rambam Medical Center and Faculty of Medicine, Technion-Israel Institute of Technology, POBox 9602, Haifa 31096, Israel e-mail: mdstahl@tx.technion.ac.il, Tel.: +972-4-8542619, Fax: +972-4-8258235IL

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