The versatility of the K-wire osteosynthesis in the metacarpal and phalanx fractures

Even the osteosynthesis in hand's bones fractures is well coded, due especially to the modern materials, when these are missing, or in uncommon clinical forms, the K-wire osteosynthesis remains an elective method in spite of the relative instability of the bone fragments. Analyzing 330 cases treated in 3 years, it was observed that the K-wire osteosynthesis techniques could be classified in four types: a) 2 wires in X, in V, in parallel, in secant arch; b) one wire c) multiple wires d) K- wire assisting other methods. In the great majority of cases it was obtained a good reduction (under radiographic control) with good and excellent functional recovery, only in 2% of cases was necessary a reintervention. These results underlined that the K-wire osteosynthesis is a versatile method and remains an important option to obtain good quality results.