Journal of Musculoskeletal Trauma

Original Article

Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires: Jae Hak Jung, Kwan Hee Lee, Yong Ju Kim, Woo Jin Lee, Sung Hyun Choi; J Korean Fract Soc 2012;25(4):317-322. Published online October 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.4.317

Abstract PDF: PURPOSE
To evaluate the radiologic and clinical results of percutaneous transverse fixation with K-wires for 5th metacarpal neck fracture.
MATERIALS AND METHODS
Between January 2007 and September 2010, 18 patients with a 5th metacarpal neck fracture, who underwent operative treatment, were included in this study. The surgical method was percutaneous transverse fixation using K-wires. We evaluated fracture angulation in oblique radiographs preoperatively, postoperatively, and at final follow-up, and used SPSS to perform statistical analysis. We also performed clinical evaluation using the Disabilities of the Arm, Shoulder and Hand (DASH) score.
RESULTS
All of the 18 cases were completely united, and in the oblique radiographs, the angulation was corrected from 50.69degrees to 11.68degrees. The average difference between postoperative and final follow-up angulations was 0.14degrees, which was statistically insignificant. Clinically, the DASH score was 1.030 and no complications were observed.
CONCLUSION
Percutaneous transverse fixation using K-wires could be one of the best ways to treat a 5th metacarpal neck fracture because of its simple method and low rate of complications.

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Case Report

Intrathoracic Migration of K-wire after Fixation of Proximal Huemrus Fracture: Case Report: Tae Jin Song, Joon Yeop Song, Sung Kon Kim, Jung Ho Park, Joon Ho Wang, Jong Woong Park; J Korean Fract Soc 2005;18(4):462-465. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.462

We report an unusual case of Kirschner wire migration from the proximal humerus into the thoracic cavity and diaphragm which induced pneumothorax and hemoperitoneum. An 81-year-old woman admitted to the emergency room due to sudden onset of dyspnea. X-rays showed pneumothorax and old proximal humerus fracture fixed with rush pins and K-wires. One of K-wires was seen on the diaphragm level at posterior gutter of chest wall. Through the abdomen, K-wire was removed from the diaphragm and a chest tube was inserted. The potential for K-wires to migrate must be recognized, and frequent postoperative radiographic studies have to be performed for the early detection of loosening and migration. It appears that if K-wires are used for fixation of proximal humerus, the lateral ends must be bent to prevent medial migration, and when the desired therapeutic goals have been achieved, these pins have to be susbsequently removed as soon as possible.

Citations

Citations to this article as recorded by

Spinal Canal Migration of a K-Wire Used for Fixation of a Distal Clavicular Fracture
Byung-Ill Lee, Yong-Beom Kim, Hyung-Suk Choi, Chang-Hyun Kim, Jung-Woo Ji
Journal of the Korean Orthopaedic Association.2013; 48(3): 231. CrossRef
Early Intrathoracic Migration of K-wire Used for Fixation of Proximal Humerus Fracture
Sang Jin Cheon, Ji Min Lee
Journal of the Korean Orthopaedic Association.2011; 46(2): 167. CrossRef

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