PURPOSE To review records of 5 patients with anterior coronal trochlear fractures. METHODS Four men and one woman aged 25 to 46 (mean, 34) years underwent cancellous screw (n=3) or Kirschner wire (n=2) fixation for anterior coronal fractures of the humeral trochlea after falling on a flexed elbow. Patients were operated on through a medial approach. Three patients who had a large osteochondra...

Purpose: Tension band wiring technique has been widely used for treating patellar fracture. Conventional techniques are associated with some complications and several modifications have introduced to increase stabilization. The purpose of this study was compare two different fixation techniques, the one-end both-ends Kirschner wire bending methods. Methods: We retrospectively reviewed patient d...

The purpose of this study was to review clinical and radiographic outcomes of perilunate dislocations and fracture dislocations treated with external fixation and K-wire fixation. Twenty patients (18 males and two females) with a mean age of 38 years (range 18-59) who had an acute dorsal perilunate dislocation or fracture dislocation were treated with the use of wrist external fixator and K-wir...

BACKGROUND In 1991 Lindaman et al described a fluoroscopic technique to determine the incision site for percutaneous fixation of a slipped capital femoral epiphysis.1 Using similar principles, we describe a simple technique to improve the accuracy of crossed K-wire placement in displaced paediatric supracondylar fractures of the humerus. Although not original, our technique is very useful and w...

At Bunbury Regional Hospital, we recently saw a case where Kirschner wires (K-wires), used during open reduction and internal fixation of olecranon, were propelled down the intramedullary canal intraoperatively. The K-wire was only secured unicortically. From our experience, we have developed steps to prevent this complication. First, where the wires are being used as part of a tension band wir...

Fracture of fifth metacarpal neck commonly requires open reduction and internal fixation. However, the current methods of internal fixation in fifth metacarpal neck fractures remain unsatisfactory. Patients with fractures of fifth metacarpal neck received open reduction and internal fixation with either locking plate in combination with two crossed Kirschner wires (K-wires) or locking plate alo...

One cm longitudinal incision was made on the radius styloid process. Dissection of soft tissue was performed with taking care of extensor pollicis brevis, abductor pollicis longus and superficial branch of radial nerve. Guide wire was inserted from tip of the radius styloid process. After surgeon recognized no displacement in fluoroscopy, break-away screw (Acutwist®, Nihon Medical Next, Osaka, ...