Digital Arthrodesis: Current Fixation Techniques

Moon, Jared L.; Kihm, Carl A.; Pérez, Daniel; Dowling, Leslie B.; Alder, David C.

doi:10.1016/j.cpm.2011.07.003

Cited by 10 publications

(2 citation statements)

References 19 publications

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“…The study "Retrospective comparative analysis between intramedullary Kirschner wire fixation and conservative treatment for displaced 5 th metacarpal neck fractures" found that conservative treatment has comparable outcomes to intramedullary K-wire fixation for displaced 5 th metacarpal neck fractures [ 23 ]. "Intramedullary resorbable fixation system versus K-wire for the treatment of lesser toe deformities", a clinical trial, compares the fixation of digital arthrodesis with a percutaneous K-wire versus an intramedullary fixation with a resorbable polylactic acid needle [ 24 ]. The study aims to determine the effectiveness and safety of the intramedullary resorbable fixation system compared to the traditional K-wire fixation.…”

Section: Reviewmentioning

confidence: 99%

“…A clinical trial is ongoing to compare the fixation of digital arthrodesis with percutaneous K-wire versus intramedullary fixation with a resorbable polylactic acid needle for the treatment of lesser toe deformities [ 24 ]. A study comparing open intramedullary K-wire versus screw and plate fixation for unstable forearm fractures in children found that both modalities have good outcomes [ 29 ].…”

Section: Reviewmentioning

confidence: 99%

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Intramedullary Kirschner Wire Fixation for Metatarsal Fractures: A Comprehensive Review of Treatment Outcomes

Patel,

Deshpande,

Goel

et al. 2024

Cureus

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Metatarsal fractures pose significant challenges in orthopedic practice, necessitating effective treatment methods to ensure optimal patient outcomes. This comprehensive review focuses on intramedullary Kirschner wire fixation as a promising intervention for metatarsal fractures. Beginning with an overview of metatarsal fractures and the imperative for effective treatments, the review delves into intramedullary fixation's definition, historical background, advantages, and disadvantages. Indications for its use in metatarsal fractures are discussed, providing a foundation for understanding its application. The surgical technique section outlines critical aspects, including patient selection criteria and preoperative planning. Before presenting a detailed step-by-step procedure for intramedullary Kirschner wire fixation, anesthesia considerations are explored. Emphasizing precision, fluoroscopic guidance, and meticulous postoperative care, this section provides insights for surgeons and healthcare practitioners. Considerations for rehabilitation follow, addressing postoperative care, expected recovery timelines, and physical therapy recommendations. Early mobilization, weight-bearing guidelines, and a structured rehabilitation program play pivotal roles in recovery. In the conclusion, key findings are summarized, highlighting the efficacy of intramedullary Kirschner wire fixation, its advantages, and recommendations for clinical practice. Additionally, areas for future research are identified, guiding further exploration and refinement of this surgical approach. This review is valuable for clinicians, researchers, and healthcare practitioners involved in metatarsal fracture management, contributing to the evolution of treatment strategies and improving patient care.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%