The Thermal Effects of Kirschner Wire Fixation on Small Bones

Khanna, Arun; Plessas, Sotirios; Barrett, Paul; Bainbridge, L. C.

doi:10.1054/jhsb.1998.0055

Cited by 28 publications

(22 citation statements)

References 9 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may cause infection and loosening of pins [1,2,18]. Pin-track infections require early removal of the pins, even before consolidation is reached [15]. Pin-track infections occur in up to 18% of the cases, 42% of which finally result in nonunions and even cases of osteomyelitis [4,12,13,16,23].…”

Section: Introductionmentioning

confidence: 99%

In vivo biomechanical comparison of hammering vs drilling of Kirschner wires; a pilot study in rabbits

et al. 2007

View full text Add to dashboard Cite

Heat generation due to drilling Kirschner wires (Kwires) into bone can lead to serious complications. Hammering K-wires could be an alternative insertion method because it generates less heat and results in better fixation and a shorter insertion time. There is, however, no in vivo information about insertion time and biomechanics of hammered K-wires. Insertion time was measured when drilling or hammering Kwires into femurs and tibias of 16 rabbits. Four K-wires inserted in one hind limb were used to measure extraction and torque forces directly after insertion (T = 0) and four K-wires inserted in the contralateral hind limb were used for the same measurements 4 weeks after insertion (T = 4). The insertion time for hammering was significantly shorter compared to drilling. Extraction and torque properties measured at T = 0 and T = 4 were equal for both techniques. Hammering, however, resulted in more cracks. Based on these results neither of these methods can be identified as a superior technique to insert K-wires in fragile bones.

show abstract

Section: Introductionmentioning

confidence: 99%

In vivo biomechanical comparison of hammering vs drilling of Kirschner wires; a pilot study in rabbits

et al. 2007

View full text Add to dashboard Cite

show abstract

“…In addition, wire drilling and multiple wire passes to correct pin trajectory may cause thermal necrosis of bone and soft tissues. [15][16][17] Allergies to stainless-steel wires and nickel titanium alloy suture anchors are rare but may lead to osteolysis. 18 -20 Resorption of bone can also occur from infection, implant loosening, and implant debris.…”

Section: Discussionmentioning

confidence: 99%

Osteonecrosis of the Scaphoid After Scapholunate Interosseous Ligament Repair and Dorsal Capsulodesis: Case Report

Berschback¹,

Kalainov²,

Bednar³

2010

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…The advantages of K-wire fixation include minimal stripping of soft tissue and periosteum, thus preserving blood supply. The disadvantages include bone heating during the passage of K-wires (Khanna et al, 1999) contributed to by accumulation of bone dust within the track created by the wire, leading to higher friction during insertion. Heating can lead to bone burns and predispose to implant loosening or infection.…”

Section: Modelling For Crossed Kirschner Wire Fixationmentioning

confidence: 99%