doiSerbia

Operative treatment of metacarpal and phalangeal fractures with Kirschner wire fixation: A review

Palibrk Tomislav D. (Clinical Centre of Serbia, Orthopedic and Traumatology Clinic, Belgrade)
Lešić Aleksandar R. (Clinical Centre of Serbia, Orthopedic and Traumatology Clinic, Belgrade + School of Medicine, Belgrade)
Anđelković Slađana Z. (Clinical Centre of Serbia, Orthopedic and Traumatology Clinic, Belgrade + School of Medicine, Belgrade)
Milošević Ivan (Clinical Centre of Serbia, Orthopedic and Traumatology Clinic, Belgrade + School of Medicine, Belgrade)
Stefanović Rodoljub B. (Clinical Center of Serbia, Anestesiology and reanimatology center, Belgrade)
Milutinović Suzana M. (Clinical Centre of Serbia, Orthopedic and Traumatology Clinic, Belgrade)
Zagorac Slaviša G. (Clinical Centre of Serbia, Orthopedic and Traumatology Clinic, Belgrade)
Bumbaširević Marko Ž. (Clinical Centre of Serbia, Orthopedic and Traumatology Clinic, Belgrade + School of Medicine, Belgrade)

Although hand fractures are most common fractures treated in orthopedic practice, many practicians treat them as trivial injuries. Improperly managed they can cause consequences and impair hand function. Metacarpal and phalangeal fractures are classified based on geometry, anatomic localization and wound presence and treatment depend on mechanism of injury. Many of them can be treated nonoperatively with reposition and immobilization, but in some cases osteosynthesis is a method of choice. Surgeon can choose various range of fixation material, and choice depends on fracture type and surgeons affinity. Kirschner wire fixation is one of the most frequently used operative procedure for hand fracture treatment. It provides good stability, early mobilization and excellent functional result.

Keywords: metacarpals, phalanges, fracture, hand, k-wire fixation