Cooling during drilling Kirschner wires is not always effective in preventing thermal related damage. In this study, we used a human in vitro model and compared temperature elevation, insertion time, and extraction force between three Kirschner wire insertion methods-drilling with and without irrigation and pneumatic hammering. Forty five Kirschner wires were inserted into 15 fresh human cadave...

Open reduction and internal fixation using tension-band wires for displaced olecranon fractures enables restoration of extensor function. We report on 3 elderly patients with a displaced olecranon fracture who underwent open reduction and internal fixation using sutures as the Kirschner wire and tension-band wire and achieved good outcome.

INTRODUCTION: Surgical simulation provides resident physicians the opportunity to improve their operative skills in a safe environment. Placement of Kirschner wires for hand fractures is a deceptively difficult technique which requires significant experience to master. A simulator to aid in visualizing the anatomy would help trainees more rapidly advance their skills. We describe the design, cr...

Kirschner wires (K-wires) are widely used for fixation of fractures and dislocations in the hand as they are readily available, reliable, and cost-effective. Complication rates of up to 18% have been reported. However, K-wire breakage during removal is rare. We present one such case illustrating a simple technique for retrieval. A 35-year-old male presented with a distal phalanx fracture of his...

INTRODUCTION: Surgical simulation provides resident physicians the opportunity to improve their operative skills in a safe environment. Placement of Kirschner wires for hand fractures is a deceptively difficult technique which requires significant experience to master. A simulator to aid in visualizing the anatomy would help trainees more rapidly advance their skills. We describe the design, cr...

Introducción: Las fracturas metafisarias de radio distal son las más frecuentes en la edad pediátrica, siendo 30% del total mismas. Mantener reducción desplazadas no siempre es posible: el re-desplazamiento principal complicación estas lesiones. Clásicamente se realizó tratamiento con maniobra y yeso, aunque los últimos años asoció fijación Kirschner wire (Kw) búsqueda disminuir re-...

We describe a simple method of inserting the distal screws in a locked femoral nail. The method requires no aiming device and no assistant. The only equipment needed is a 3 mm Kirschner wire and an air drill.

PURPOSE To evaluate the outcome after closed reduction and pinning using a Kirschner wire inserted laterally and another inserted vertically through the olecranon for displaced supracondylar humeral fractures. METHODS 39 boys and 11 girls aged 2 to 12 (mean, 7.27) years underwent closed reduction and pinning using a Kirschner wire inserted laterally and another inserted vertically through the...