ArticleHand (New York, N.Y.)2023
Effect of K-wire Reuse and Drill Mode on Heat Generation in Bone.
Article in Hand (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- The Swiss Cheese Effect: A Biomechanical Study of Fifth Metacarpal Structural Integrity After Multiple Kirschner Wire Passes.Journal of hand surgery global online · 2026Article
- Migration of Two Broken K-wires into the Cervical Region following Lateral End Clavicle Fixation: A Rare Case Report and Literature Review.Journal of orthopaedic case reports · 2026Article
- Adolescent elbow osteochondral lesions following prior elbow fracture pinning.Journal of children's orthopaedics · 2022Article
- Effectiveness of mechanical cleaning, antibiotics, and induction heating on eradication ofBone & joint research · 2022Article
- Influence of Oscillation Drilling on Screw Purchase: A Biomechanical Pilot Study.Kansas journal of medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe examined the effect of Kirschner wire (K-wire) reuse and use of oscillating mode on heat generation within cortical bone.
methodsTwo trocar-tipped K-wires were drilled through the diaphysis of each of 30 human metacarpals and phalanges: one K-wire was inserted in rotary mode and another in oscillating mode. Each wire was reused once. Thermocouples placed within the dorsal and volar bone adjacent to the K-wire drill path measured temperatures throughout each test.
resultsPeak cortex temperatures were 25°C to 164°C. Rotary drilling achieves peak temperatures quicker (31 ± 78 seconds vs 44 ± 78 seconds,
conclusionsOverall heat exposure may be higher if a K-wire is reused or inserted in oscillating mode. In the absence of external cooling, K-wire insertion into cortical bone can easily expose bone to temperatures that exceed 70°C and may increase the risk of osteonecrosis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.