The Osteosynthesis of the Hand Bones’ Fractures with Kirschner Wires in Secant Arch

Abstract

Taking into consideration the disadvantages of the osteosynthesis of the hand bones’ fractures using classic straight Kirschner wires, we tried to generate a real optimization in the technique of K-wire osteosynthesis by using the elastic osteosynthesis with K-wires in secant arch. The elastic fixation provides the elastic stabilization of the fracture centers, generating the good conditions for blocking the large movements, but in the same time for keeping the possibility to allow some micro-movements in the fracture center. In the relative stables fracture centers, the elastic (flexible) fixations in secant arch provide an “elastic and stable fixation”. A study had been done on 25 cases of fractures owing to 25 adult patients surgically treated in a two years period (2005-2006). For all the cases it was utilized the „osteosynthesis with K-wires in secant arch”, technique witch needs to follow 4 steps. In the great majority of cases it was obtained a good reduction (under radiographic control) with good and excellent functional recovery. These results underlined that the K-wires osteosynthesis in secant arch has specific advantages and remains an important option to obtain good quality results.