The risks of Kirschner wire placement in the distal radius: A comparison of techniques

被引:40
作者
Hochwald, NL [1 ]
Levine, R [1 ]
Tornetta, P [1 ]
机构
[1] KINGS CTY HOSP,DEPT ORTHOPED,BROOKLYN,NY
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1997年 / 22卷 / 04期
关键词
D O I
10.1016/S0363-5023(97)80112-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A comparison of percutaneous and limited open insertion of Kirschner wires (K-wires) in the distal radius was conducted in an effort to determine which technique has the lower rate of iatrogenic injury. Eighty-eight it-wires were inserted in the distal radii of 44 fresh cadaveric arms: 44 at Lister's tubercle and 44 at the tip of the radial styloid. No incision was used for the percutaneous technique. The limited open technique included a 1.5-cm incision with blunt dissection and use of a soft tissue protector. To define the incidence of nerve or tendon damage secondary to pin placement, the cadaveric wrists were subsequently dissected under 3.5x loupe magnification, The distances from the it-wires to the branches of the superficial radial nerve and to the first 3 extensor compartments were recorded. Structures pierced or displaced by a K-wire were considered potentially injured. Chi-square analysis demonstrated a significantly higher rate of potentially injured nerves and tendons in the percutaneous group. Thus, to reduce the risk of potential injuries, limited open incision, blunt dissection down to bone, and the use of a sort tissue protector for K-wire placement into the distal radius is recommended.
引用
收藏
页码:580 / 584
页数:5
相关论文
共 16 条
[1]
AUERBACH DM, 1994, CLIN ORTHOPAEDICS, V308, P241
[3]
COMPLICATIONS OF COLLES FRACTURES [J].
COONEY, WP ;
DOBYNS, JH ;
LINSCHEID, RL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1980, 62 (04) :613-619
[4]
GREATTING MD, 1993, ORTHOP CLIN N AM, V24, P301
[5]
UNSTABLE DISTAL RADIUS FRACTURES TREATED BY MODIFIED KIRSCHNER WIRE PINNING - ANATOMIC CONSIDERATIONS, TECHNIQUE, AND RESULTS [J].
HABERNEK, H ;
WEINSTABL, R ;
FIALKA, C ;
SCHMID, L .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 36 (01) :83-88
[6]
EXTERNAL FIXATION OF COLLES FRACTURES - AN ANATOMICAL STUDY [J].
JENKINS, NH ;
JONES, DG ;
JOHNSON, SR ;
MINTOWTCZYZ, WJ .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1987, 69 (02) :207-211
[7]
KERBOUL B, 1986, J CHIR-PARIS, V123, P428
[8]
KWASNY O, 1990, Aktuelle Traumatologie, V20, P97
[9]
PITFALLS OF PEDICLE SCREW FIXATION IN THE SACRUM - A CADAVER MODEL [J].
LICHT, NJ ;
ROWE, DE ;
ROSS, LM .
SPINE, 1992, 17 (08) :892-896
[10]
PERCUTANEOUS KIRSCHNER WIRE STABILIZATION FOLLOWING CLOSED REDUCTION OF COLLES FRACTURES [J].
MAH, ET ;
ATKINSON, RN .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1992, 17B (01) :55-62