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Internal fixation with K-wires for the clavicular shaft fractures in young women
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Do Young Kim, Yong Wook Park, Gun Il Im, Chang Kyun Lim, Sang Soo Lee, Hyun Chul Park
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J Korean Soc Fract 2002;15(4):545-550. Published online October 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.4.545
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 Abstract
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- PURPOSE
To know the advantages and disadvantages of this procedure by analyzing the results of internal fixation with K-wires for clavicular shaft fractures in young women.
MATERIALS AND METHODS
Twelve patients were followed for more than 1 year after the operation. All patients were female and average age was 28 years with average follow-up of 14 months. All cases were displaced fractures of the middle third with tenting of the skin and 2 cases were type 1 open fractures. After the operation, we investigated time to union, changes of K-wire, scar and disadvantages periodically.
RESULTS
There was no nonunion and time to union averaged 11.8 weeks. Migration and bending of the K-wires occured in one case. The length of surgical scar was about 4cm and the K-wires were easily removed under local anesthesia. But all patients complained of frequent radiographic evaluation, relatively long period of immobilization and irritation of the K-wires on medial part of the clavicle.
CONCLUSION
We think that internal fixation with the K-wires is one of the effective treatment options for the clavicular shaft fractures in young women.
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Metacarpal Shaft Fracture Treated by Closed Reduction and Percutaneous Intramedullary K-wire Fixationv
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Soo Joong Choi, Chang Kyun Lim, Ho Guen Chang, Jun Dong Chang, Chang Ju Lee
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J Korean Soc Fract 1998;11(1):100-106. Published online January 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.1.100
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Abstract
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- The metacarpal shaft fracture has been reported as a stable fracture relatively, but operative treatment is indicated when there happens reduction loss, or is in need of early exercise. Intramedullary K-wire fixation has been used for unstable transverse or long oblique diaphyseal fracture of the metacarpal bone. The fracture site is not opened and the K-wires are introduced under X-ray control. The techniques can stablize the fracture site and allow immediate exercise postoperatively.
We experienced 9 cases of 4th metacarpal shaft fracture treated by percutaneous intramedullary K-wire frxation with modified technique. The K-wire was used one or two ezch metacarpal fracture. The types of fracture were 4cases of transverse, 3 of oblique, 2 of comminuted. The average clinical union period were 5 weeks. There were not severe complications in all cases.
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