Complications of Kirschner Wire Use in Open Reduction and Internal Fixation of Calcaneal Fractures
| Autor: | Jan S. K. Luitse, Vincent M. de Jong, Manouk Backes, Tim Schepers, Maarten C. Dorr |
|---|---|
| Přispěvatelé: | Graduate School, Surgery, Other Research, Emergency Department |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Radiography Open Fracture Reduction Prosthesis Design Fracture Fixation Internal Fractures Bone 03 medical and health sciences Fixation (surgical) Postoperative Complications 0302 clinical medicine Foreign-Body Migration Humans Medicine Internal fixation Orthopedics and Sports Medicine Kirschner wire 030212 general & internal medicine 030222 orthopedics Osteosynthesis business.industry Trauma center Middle Aged Surgery Calcaneus Female business Bone Wires Follow-Up Studies |
| Zdroj: | Journal of foot and ankle surgery, 55(5), 915-917. Academic Press Inc. |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2016.04.003 |
| Popis: | The most important goal of surgical management of displaced intra-articular calcaneal fractures is anatomic correction. This reduction is usually stabilized using plate and screw osteosynthesis. In addition, Kirschner wires (K-wires) can be used to maintain the surgical reduction or stability of the construct. In the present study, we evaluated the frequency and type of use of additional K-wires and subsequent migration in the surgical management of displaced intra-articular calcaneal fractures. The data from 279 patients treated surgically from January 1, 2000 to December 31, 2014 in a level 1 trauma center using an extended lateral approach were analyzed after 1 year of follow-up. All postoperative radiographic images were reviewed to identify the cases in which K-wires were used. Data on the number and type of K-wires used, K-wire location, and K-wire migration found on follow-up imaging studies were collected. Of the 279 patients, 69 K-wires had been used in 49 (18%) patients. A total of 25 (36%) lost (buried), 38 (55%) bent, and 6 (9%) unmodified straight K-wires had been placed. Overall, in 4 (5.8%) of 69 K-wires, secondary dislocation was seen. One (4%) of the lost, 3 (50%) of the unmodified, and none of the bent K-wires showed secondary dislocation. K-wire migration was seen in 5.8% of the cases. None of the bent K-wires and only 1 of the lost K-wires had migrated in the present study. These 2 techniques are preferred when using K-wire fixation in the treatment of displaced intra-articular calcaneal fractures. The use of unmodified straight K-wires should be discouraged. |
| Databáze: | OpenAIRE |
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