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Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial.
J Hand Surg Eur Vol. 2020 Jul 01 [Online ahead of print]JH

Abstract

We treated 220 extra-articular distal radial fractures with closed reduction and percutaneous K-wire fixation and randomized K-wire placement to buried or exposed. We analysed the incidence and severity of infection and the mobility of the metacarpophalangeal joints. At 6 weeks postoperatively, 12 patients in the exposed group had infections versus two in the buried group, which was a statistically significant difference. Mobility was statistically but not clinically better in the buried group. One patient in each group had wires removed before fracture healing due to infection, which resulted in malunion. From this study we conclude that, in the treatment of distal radial fractures, it is better to bury the K-wires under the skin, especially when geographical conditions make it difficult to control the patients' adherence to hygiene and postoperative care despite the higher costs incurred with removal of buried K-wires. Level of evidence: II.

Authors+Show Affiliations

Faculdade de Medicina, Universidade Federal do Pará, Belém, PA, Brazil. Hospital Maradei, Clínica dos Acidentados, Belém, PA, Brazil.Faculdade de Medicina, Universidade Federal do Pará, Belém, PA, Brazil.Faculdade de Medicina, Universidade Federal do Pará, Belém, PA, Brazil.Hospital Maradei, Clínica dos Acidentados, Belém, PA, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32611274

Citation

Maradei-Pereira, João Alberto R., et al. "Infection After Buried or Exposed K-wire Fixation of Distal Radial Fractures: a Randomized Clinical Trial." The Journal of Hand Surgery, European Volume, 2020, p. 1753193420936543.
Maradei-Pereira JAR, Dos Santos AP, Martins JR, et al. Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial. J Hand Surg Eur Vol. 2020.
Maradei-Pereira, J. A. R., Dos Santos, A. P., Martins, J. R., & Maradei-Pereira, M. R. (2020). Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial. The Journal of Hand Surgery, European Volume, 1753193420936543. https://doi.org/10.1177/1753193420936543
Maradei-Pereira JAR, et al. Infection After Buried or Exposed K-wire Fixation of Distal Radial Fractures: a Randomized Clinical Trial. J Hand Surg Eur Vol. 2020 Jul 1;1753193420936543. PubMed PMID: 32611274.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial. AU - Maradei-Pereira,João Alberto R, AU - Dos Santos,Amanda P, AU - Martins,Juliana R, AU - Maradei-Pereira,Marcia R, Y1 - 2020/07/01/ PY - 2020/7/3/entrez KW - K-wires KW - distal radius KW - fractures KW - surgical wound infection SP - 1753193420936543 EP - 1753193420936543 JF - The Journal of hand surgery, European volume JO - J Hand Surg Eur Vol N2 - We treated 220 extra-articular distal radial fractures with closed reduction and percutaneous K-wire fixation and randomized K-wire placement to buried or exposed. We analysed the incidence and severity of infection and the mobility of the metacarpophalangeal joints. At 6 weeks postoperatively, 12 patients in the exposed group had infections versus two in the buried group, which was a statistically significant difference. Mobility was statistically but not clinically better in the buried group. One patient in each group had wires removed before fracture healing due to infection, which resulted in malunion. From this study we conclude that, in the treatment of distal radial fractures, it is better to bury the K-wires under the skin, especially when geographical conditions make it difficult to control the patients' adherence to hygiene and postoperative care despite the higher costs incurred with removal of buried K-wires. Level of evidence: II. SN - 2043-6289 UR - https://www.unboundmedicine.com/medline/citation/32611274/Infection_after_buried_or_exposed_K-wire_fixation_of_distal_radial_fractures:_a_randomized_clinical_trial L2 - https://journals.sagepub.com/doi/10.1177/1753193420936543?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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