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The Pull-out K-wire Anchorage: The "Shepherd's Crook" Technique.
Daniele De Spirito1, Dario Giunchi
1Servizio di Chirurgia e Ortopedia, Ospedale Regionale di Lugano, Canton Ticino, Switzerland.
Techniques in Hand & Upper Extremity Surgery
|June 15, 2017
Summary
A modified K-wire technique offers a novel approach for tendon and ligament repair in hand surgery, serving as an external strut for enhanced fixation. This method is particularly useful for extensor and flexor tendon reinsertions and situations requiring joint immobilization.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Biomedical Engineering
Background:
- Traditional pull-out techniques remain prevalent for tendon and ligament repair in hand surgery.
- Despite advancements, there is ongoing development in fixation methods for these procedures.
Purpose of the Study:
- To introduce a modified technique for tendon and ligament fixation in hand surgery.
- To present a novel fixation system utilizing a K-wire as an external strut.
Main Methods:
- Modification of the classic pull-out technique.
- Utilizing a K-wire as an external strut for fixation instead of a traditional button.
- Application in extensor and flexor tendon and reinsertion fixation.
Main Results:
- The proposed K-wire fixation system provides a viable alternative to traditional methods.
- The technique is particularly advantageous in specific clinical scenarios.
- Demonstrated applicability in cases requiring transarticular K-wire use or temporary joint immobilization.
Conclusions:
- The modified K-wire technique offers a useful adjunct for tendon and ligament repair in hand surgery.
- This method presents a practical solution for specific fixation challenges.
- Further evaluation may confirm its broad utility in various hand surgical applications.
