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The Novel Hooked Kirschner Wire Technique for Ulna Coronoid Process Fractures
1Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea.
Clinics in Orthopedic Surgery
|February 13, 2023
Summary
The hooked Kirschner wire (K-wire) technique effectively fixes coronoid process fractures, including small fragments. This method demonstrates good bony union and functional outcomes in elbow surgery patients.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Upper Extremity Reconstruction
Background:
- Coronoid process fractures present challenges in fixation, particularly small fragments.
- Developing improved surgical techniques is crucial for optimal patient outcomes.
Purpose of the Study:
- To introduce a novel hooked Kirschner wire (K-wire) technique for improved fixation of coronoid process fractures.
- To evaluate the clinical and radiological outcomes of this technique.
Main Methods:
- Retrospective review of 49 patients with coronoid process fractures treated with hooked K-wire technique (2007-2019).
- Radiological assessment of fracture union and analysis of functional outcomes using Mayo Elbow Performance Score (MEPS).
Main Results:
- Successful bony union achieved in all patients within a mean of 10.9 weeks.
- Excellent functional outcomes reported, with a mean MEPS of 96.9.
- Low complication rates, including one nonunion and one infection requiring further surgery.
Conclusions:
- The hooked K-wire technique is a viable and effective method for fixing coronoid process fractures, even small ones.
- K-wires serve as a reliable option for both temporary intraoperative and permanent fixation in these injuries.
