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Numerous pinning techniques have been proposed, however there is not enough evidence to determine which is more effective. [1] Pinning involves the manipulation, with X-ray guidance, of the fracture into an acceptable position, and the immediate insertion of metal pins, called Kirschner wires, through the skin, into one bone fragment and across the fracture line into the other bone fragment.
K-wires are used for temporary fixation during some operations. After definitive fixation they are then removed. The pins are usually removed four weeks post operation. [1] They can be used for definitive fixation if the fracture fragments are small (e.g. wrist fractures and hand injuries).
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
A surgical fracture table is a table that is used for applying traction to broken limbs while the body is fixed in place, allowing the surgeon to reduce the broken extremity without requiring too much assistance, and then holding the limb in this fixed and reduced position while the surgeon applies external fixation, such as a cast or splint ...
For Bennett fractures where there is between 1 mm and 3 mm of displacement at the trapeziometacarpal joint, closed reduction and percutaneous pin fixation (CRPP) with Kirschner wires is often sufficient to ensure a satisfactory functional outcome. The wires are not employed to connect the two fracture fragments together, but rather to secure ...
If reports are accurate, her injury will almost certainly need surgery, and it is often done within 1 to 2 days to address pain concerns and help patients get out of bed as quickly as possible to ...
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