Belski wiring
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Swollen deformed hand following a fracture of the middle finger (MF) following a fall |
The x-rays show a tilted, unstable fracture near the base of the middle finger (MF). This could not be held well enough in plaster so it was wire |
A 1.1 mm K wire is passed through the skin and into the head of the middle finger metacarpal with a power drill |
X-rays in the operating theatre show the wire in the head of the metacarpal on the frontal and side views |
The wire is advanced into the proximal (near) fracture fragment with the finger bent down about 90 degrees |
Now the wire is advanced into the further fracture fragment, but NOT into the PIP joint. This is checked with x-rays in the operating theatre |
The wire stands proud before being bent over and cut short |
As the operation was performed under local anaesthetic the patient can bend their fingers to confirm correct alignment and free tendon movement |
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