Kirschner wire fixation technique

First, according to your method, you can use a Kirschner wire to fix the fracture at the anatomical position; then, drill holes perpendicular to the longitudinal axis of the phalanx at the proximal and distal ends of the fracture 0.5-1 cm from the fracture line, and pass through the bilateral cortical bones. . The two Kirschner wires with a diameter of 1.5mm should be in a plane, and this plane should be parallel to the longitudinal axis of the phalanx; finally, take out the two Kirschner wires, insert the injection needle into the needle path as a catheter, The 1mm steel wire is passed through and then tightened to pressurize it, which is equivalent to a tension band steel wire. This kind of fixation is very firm, and early exercise can be performed after the operation to facilitate functional recovery. This method can also be used for phalangeal fusion.

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