K wiring a finger
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X-rays show a comminuted (multifragmented) fracture (break) of the left ring finger proximal phalanx. |
In the operating theatre the finger is pulled out to reduce (line up) the fracture fragments. |
The reduction of the fracture is confirmed on x-rays in the operating theatre |
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The position for the first wire is planned by lying a wire on the skin and taking another x-ray. |
The line for the first wire is marked on the skin |
The first 1.1mm wire is inserted into one fracture fragment with a power drill |
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The position of the first wire is confirmed on x-rays |
The wire is advanced into second fracture fragment and confirmed on x-ray |
The first wire is bent over for ease of access. |
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The second wire is advanced across the fracture, monitored carefully with x-rays |
As the patient is awake under local anaethetic they can move their fingers showing normal rotation and tendon glide |
The third wire is advanced across the fracture. Note the wires are nicely parallel and the fracture |
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The wires are bent over.. They are removed in 4-5 weeks. The hand is dressed and a plaster applied |
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