
Safe corridors for K-wiring in phalangeal fractures
Author(s) -
C Rex,
R Vignesh,
Muhammad Javed,
Subba Chandra Balaji,
C Premanand,
Syed Ashfaque Zakki
Publication year - 2015
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.159591
Subject(s) - medicine , dash , cadaveric spasm , phalanx , fixation (population genetics) , surgery , reduction (mathematics) , numerical digit , orthodontics , computer science , population , geometry , environmental health , mathematics , operating system , arithmetic
Unstable phalangeal fractures are commonly treated with K-wire fixation. Operative fixation must be used judiciously and with the expectation that the ultimate outcome should be better than the outcome after nonoperative management. It is necessary to achieve a stable fracture fixation and early mobilization. In order to achieve this goal, one should closely understand the safe portals/corridors in hand for K-wire entry for fractures of the phalanges. Safe corridors were defined and tested using a pilot cadaveric and a clinical case study by assessing the outcome.