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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.
They come in different sizes and are used to hold bone fragments together (pin fixation) or to provide an anchor for skeletal traction. The pins are often driven into the bone through the skin (percutaneous pin fixation) using a power or hand drill. They also form part of the Ilizarov apparatus. Kirschner wires used for fixation of a Colles ...
Surgical procedures can be used in the case of a more extreme condition. [4] Ligament anchoring procedures can restore ligament-bone connections via pins, which can be relied on for treatment of a damaged ulnar collateral ligament in gamekeeper's thumb. [4]
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]
Post surgical complications can include rupture (1%), [10] infection, pin failure and nail and joint deformity. Surgery is often accompanied by a rehabilitation protocol to strengthen the injured muscle and help the patient regain as much range of motion (ROM) as possible at the affected joint.
Finger injuries are usually diagnosed with x-ray and can get to be considerably painful. The majority of finger injuries can be dealt with conservative care and splints. However, if the bone presents an abnormal angularity or if it is displaced, one may need surgery and pins to hold the bones in place.
A suzuki frame being used in the treatment of an injured ring (fourth) finger. The Suzuki frame is a medical device, used for helping heal broken fingers, especially those with deep, complex intra-articular fractures. Rubber bands are used to generate traction between two metal Kirschner wires that are inserted into the bone on either side of a ...
Anterior interosseous syndrome is a medical condition in which damage to the anterior interosseous nerve (AIN), a distal motor and sensory branch of the median nerve, classically with severe weakness of the pincer movement of the thumb and index finger, and can cause transient pain in the wrist (the terminal, sensory branch of the AIN innervates the bones of the carpal tunnel).