ArticleJournal of hand surgery global online2025
Evaluation and Management of Complications Following Percutaneous K-Wire Fixation in Hand and Wrist Fractures.
Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: This study aims to evaluate the frequency and management of complications in patients who underwent percutaneous K-wire fixation for hand and wrist fractures caused by trauma. Methods: A total of 143 patients (112 men, 31 women) with 333 K-wires were retrospectively analyzed. Demographic data, surgical techniques, postoperative care, and complications were reviewed. Minor complications included pin loosening, migration, and superficial infections, while major complications included nonunion, malunion, and osteomyelitis. Results: Complications were observed in 23 patients (16%), including six major and 17 minor cases. The most common complications were pin loosening (five patients), infection (six patients), and pin migration (seven patients). Infections were primarily caused by Conclusions: Complications occurred in 16% of cases, with pin migration, loosening, and infection being the most frequent issues. Although most complications were minor and manageable, major complications such as nonunion and osteomyelitis necessitated additional surgical interventions. Type of study/level of evidence: Therapeutic IV.
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