Standard surgical repair of an intertrochanteric fracture, the most common hip fracture, requires accurate placement of a wire across the fracture using static fluoroscopic images. Wire navigation is fundamental to a number of orthopedic procedures. Directing and advancing the wire in the correct plane relies on both visual-spatial and psychomotor dexterity skills [1]. Underdeveloped skills cau...

A prospective study was conducted to evaluate the efficacy of percutaneous Kirschner-wire fixation for the management of high-risk distal forearm fractures in children. Thirty two children (22 boys & 10 girls) with displaced fractures of the distal third of the radius with or without ulnar fractures were managed by closed reduction and percutaneous Kirschner-wire fixation. Their average age was...

OBJECTIVES This meta-analysis aimed to compare the therapeutic effect of mini-plate versus Kirschner wire (K-wire) internal fixation on the treatment of metacarpal and phalangeal fractures among Chinese Han population. METHODS Databases of China National Knowledge Infrastructure (CNKI), Wanfang, Chinese VIP, PubMed, and Embase were retrieved for studies on mini-plate (case group) versus K-wir...

Objective: To compare outcome of patients with supracondylar fractures of humerus treated by cross K-wires and lateral entry K-wires in children. Patients and methods: It is a randomized controlled trial study, conducted at Department of Orthopedic surgery, Shaikh Zayed Hospital/PGMI Lahore, during period of 8 months (June 2011 to Feb. 2012). Total 200 cases were included in the study (divided ...

OBJECTIVE To determine whether the FlatWire Figure 8 sternal fixation device (Penn United, USA) is mechanically superior to the current standard in sternotomy closure. DESCRIPTION Unstable sternal closure using traditional steel-wire cerclage can increase postoperative pain, bony cut-through and wound dehiscence. The authors present the Figure 8 sternal fixation device to minimize these compl...

BACKGROUND We reviewed our results and complications of using a pre-bent 1.6 mm Kirschner wire (K-wire) for extra-articular metacarpal fractures. The surgical procedure was indicated for angulation at the fracture site in a true lateral radiograph of at least 30 degrees and/or in the presence of a rotatory deformity. METHODS A single K-wire is pre-bent in a lazy-S fashion with a sharp bend at...

BACKGROUND There is no robust evidence of the best operative treatment for displaced unstable metacarpal neck fractures. Numerous constructs are used in the fixation of metacarpal neck fractures. Currently, two common methods are dorsal locking plate and K-wire fixation. A new metacarpal sled fixation system for metacarpal neck fracture was designed to provide fracture stability but limit disse...

In this study, we performed a network meta-analysis to compare the outcomes of seven most common surgical procedures to fix DRF, including bridging external fixation, non-bridging external fixation, K-wire fixation, plaster fixation, dorsal plating, volar plating, and dorsal and volar plating. Published studies were retrieved through PubMed, Embase and Cochrane Library databases. The database s...

Distal radius fractures are one of the most common injuries and this incidence is likely to increase as the aging population increases. The type of operation and implant is a matter of discussion and randomized trials and meta analyses have failed to recommend the preferred implant. Internal fixation with volar locking plate and external fixation with supplementation with K wire have been succe...

PURPOSE Femoral intertrochanteric fractures are common in the elderly. Appropriate surgical fixation of trochanteric fracture fragments can restore normal anatomical structure and ambulation, and can aid in the recovery of biomechanical function of the hip. We evaluated clinical outcomes of bipolar hemiarthroplasty using a wiring technique for trochanteric fracture fragment fixation. MATERIAL...