Journal articles: 'Kirschner'

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Ayotte, Barbara. "Robert Kirschner." Lancet 360, no. 9341 (October 2002): 1258. http://dx.doi.org/10.1016/s0140-6736(02)11266-9.

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Beaver, DP, DD Lewis, OI Lanz, JB Madison, and PS Kubilis. "Evaluation of four interfragmentary Kirschner wire configurations as a component of screw/wire/polymethylmethacrylate fixation for acetabular fractures in dogs." Journal of the American Animal Hospital Association 36, no. 5 (September 1, 2000): 456–62. http://dx.doi.org/10.5326/15473317-36-5-456.

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The biomechanical contribution of the interfragmentary Kirschner wire as a component of composite fixation for acetabular fracture repair was subjectively and objectively evaluated. Acetabular osteotomies were repaired using the screw/wire/polymethylmethacrylate (SWP) composite fixation with or without one of three configurations of Kirschner wire in 32 hemipelves obtained from 16 dogs. Reduction, assessed objectively and subjectively, was unaffected by Kirschner wire placement. Hemipelves repaired with Kirschner wire(s) were subjectively more stable prior to application of polymethylmethacrylate when manually assessed in multiple planes. Consistent incremental increases in stiffness, yield load, and maximum load sustained that were observed during biomechanical testing were not significant, with the exception that hemipelves repaired with two Kirschner wires had significantly greater yield loads than hemipelves repaired without Kirschner wires. The subjective results of this study support the use of at least one interfragmentary Kirschner wire to maintain reduction prior to polymethylmethacrylate application; however, fracture configuration and location may dictate the number and pattern of interfragmentary Kirschner wires used to maintain reduction prior to application of the polymethylmethacrylate. The objective results and observations made during biomechanical testing suggest that use of one or more interfragmentary Kirschner wires may enhance stability after polymethylmethacrylate application.

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Charatan, F. "Robert Howard Kirschner." BMJ 325, no. 7370 (October 26, 2002): 972. http://dx.doi.org/10.1136/bmj.325.7370.972.

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Firoozabadi, Reza, Patricia A. Kramer, and Stephen K. Benirschke. "Kirschner Wire Bending." Journal of Orthopaedic Trauma 27, no. 11 (November 2013): e260-e263. http://dx.doi.org/10.1097/bot.0b013e318290f818.

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Deb, Sudip. "Tension Band Wiring for Fracture Patella Outcome with 3 K Wire versus 2 K Wire." Recent Advances in Pathology & Laboratory Medicine 07, no. 1&2 (June 30, 2021): 7–10. http://dx.doi.org/10.24321/2454.8642.202103.

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Introduction: Fractures of the patella constitute almost 1% of all skeletal injuries, resulting from either direct or indirect trauma. Many forms of internal fixation for patellar fractures have been described in the literature but perfect anatomical reduction during surgery has an excellent outcome irrespective of the method of fixation used. The conventional method of patellar tension band wiring is always done with the help of two parallel Kirschner wires. Here, in our study, we intended to see whether the use of 3 parallel Kirschner wires in comparison to conventional one results in a superior functional outcome. Methods: A prospective observational study was carried out in ANIIMS and GB Pant hospital Port Blair from November 2016 to November 2019 on 44 patients of patellar fracture operated by tension band wiring with 22 patients in 2 parallel Kirschner wires and 3 parallel Kirschner wires groups respectively. Results: 44 patients were followed up postoperatively for 1 year and assessed by Lysholm knee score for pain status and working status and other variables. The mean age of the participants was 40.27 years (41.86 in two Kirschner wire group and 38.68 in three Kirschner wire group) in our study. Lysholm knee score, pain status, or working status was not significant throughout the mean follow-up periods for both groups. Conclusions: We found no significant difference between patellar TBW in 3 Kirschner wire and 2 Kirschner wire groups. However small sample size limits our study.

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Blackmore, Julia, and Lesley Phillips. "Kirschner-Ehmer Device Alone to Stabilize Caudal Lumbar Fractures in Small Dogs." Veterinary and Comparative Orthopaedics and Traumatology 4, no. 04 (1991): 112–15. http://dx.doi.org/10.1055/s-0038-1633264.

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SummaryA Kirschner-Ehmer device was used to stabilize caudal lumbar fractures/luxations in three dogs weighing 12 kg or less. A through and through Kirschner-Ehmer device maintained alignment during the healing process using the appropriate sized rods and clamps. Postoperative management included strict cage confinement and oral broad spectrum systemic antibiotics for up to two weeks after removal of the Kirschner-Ehmer device. In all three cases, the fractures/luxations were healed within six to eight weeks. The Kirschner-Ehmer device could then be removed with sedation or general anaesthesia.

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Harmouchi, Hicham, Abderahime El Bouazzaoui, Abdellatif Bensalah, Alami Badr, Marwane Lakranbi, Yassine Ouadnouni, Abdellatif Bouarhroum, and Mohammed Smahi. "Intratracheal migration of two Kirschner wires after surgery for a clavicle fracture." Asian Cardiovascular and Thoracic Annals 29, no. 5 (January 7, 2021): 428–30. http://dx.doi.org/10.1177/0218492320987933.

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Kirschner wire is frequently used in orthopedic surgery, and migration is not exceptional. Intrathoracic migration is well-known, especially after surgery on the shoulder girdle, however, intratracheal migration is extremely rare. We describe a case of intratracheal migration of two Kirschner wires in a 41-year-old man who had them placed two years previously for a right clavicle fracture. He experienced chest pain followed by hemoptysis. Thoracic computed tomography revealed intratracheal migration. Remove of the Kirschner wires was performed by a cervical-sternotomy approach. Prompt removal of migrated Kirschner wires must be carried out urgently to avoid fatal complications.

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Sharma, Nikhil, David Morley, and Dev Damany. "“Pilot Hole” Technique for Interphalangeal Joint Fusion of Toes." Journal of the American Podiatric Medical Association 106, no. 4 (July 1, 2016): 305–7. http://dx.doi.org/10.7547/15-008.

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Fusion of an interphalangeal joint of a lesser toe is a commonly used procedure for addressing interphalangeal joint deformities such as a hammer or a claw toe. Fusion can be achieved by insertion of an intramedullary Kirschner wire in a retrograde manner. Deviation of the Kirschner wire from the intramedullary canal into the surrounding soft tissues is common. This can render the fusion unstable and can cause painful soft-tissue irritation and early Kirschner wire loosening, resulting in an unstable nonunion with recurrence of deformity. We describe a simple and reproducible technique to assist with optimal intramedullary placement of the Kirschner wire, thereby reducing the risk of complications after interphalangeal joint fusion of a toe.

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HUNG, L. K., W. S. SO, and P. C. LEUNG. "Combined Intramedullary Kirschner Wire and Intra-Osseous Wire Loop for Fixation of Finger Fractures." Journal of Hand Surgery 14, no. 2 (April 1989): 171–76. http://dx.doi.org/10.1016/0266-7681_89_90121-6.

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An intramedullary Kirschner wire was combined with an intra-osseous wire loop for fixing finger fractures. The mechanical stability of this technique to resist a bending moment in the sagittal plane was compared with four other conventional methods: single loop, loop and an oblique Kirschner wire, crossed Kirschner wires and dorsal plating. It was found that when the applied force was small, the technique was much more stable than the crossed Kirschner wires and was similar to the others. The ability to withstand mechanical failure was much better than most of the methods except the dorsal plate. This technique is recommended for replantations, transverse fractures and short oblique fractures with little comminution.

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Veres, Lukács, Regina Kiss, Miklós Boros, Attila Enyedi, István Takács, Sándor Kollár, László Damjanovich, and Sándor Sz. Kiss. "Kirschner-drótok intrathoracalis vándorlásar." Magyar Sebészet 62, no. 6 (December 1, 2009): 353–56. http://dx.doi.org/10.1556/maseb.62.2009.6.7.

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Absztrakt A baleseti és ortopéd sebészek gyakran használnak tűződrótot a clavicula és a humerus rögzítésére. A fémanyagok mellüregbe történő elvándorlása ritkán fordul elő. Egy idős nőbeteg humeroscapularis ízületét ismételt jobb vállficama miatt 6 héttel korábban Kirschner-drótokkal tűzték meg. Kontrollröntgen során fedezték fel, hogy a tűződrótok a jobb mellüregbe vándoroltak. Videothoracoscopos úton technikailag nem lehetett őket eltávolítani, ezért jobb oldali thoracotomia történt. Pneumolysist követően a 2-es tüdősegmentumból és a kupolánál, medialisan a gerinccsatornába fúródó Kirschner-drótot távolítottak el. A posztoperatív időszakban sebészeti komplikáció nem volt. A szerzők áttekintik ennek a ritkán előforduló szövődménynek az irodalmát és felhívják a figyelmet, hogy a mellüregbe vándorolt tűződrótok eltávolítása szükséges a fenyegető súlyos szövődmények megelőzésére.

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Lever, A. B. P. "Interview with Stanley Kirschner." Coordination Chemistry Reviews 175, no. 1 (August 1998): 1–15. http://dx.doi.org/10.1016/s0010-8545(98)00209-4.

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&NA;, &NA;. "Kirschner??s Orthopaedic Staples." Orthopaedic Nursing 7, no. 4 (July 1988): 50. http://dx.doi.org/10.1097/00006416-198807000-00014.

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Lever, A. B. P., Chris Orvig, and Jan Reedijk. "Stan Kirschner—An appreciation." Coordination Chemistry Reviews 253, no. 15-16 (August 2009): 1970–72. http://dx.doi.org/10.1016/j.ccr.2008.12.015.

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14

Adamson, P. M., and P. S. Douglas. "The Kirschner wire guide." British Journal of Oral and Maxillofacial Surgery 32, no. 1 (February 1994): 48–49. http://dx.doi.org/10.1016/0266-4356(94)90173-2.

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Graupe, F., W. Schwenk, H. P. Hucke, and W. Stock. "Leistenhernienoperationen modifiziert nach Kirschner." Langenbecks Archiv f�r Chirurgie 377, no. 6 (1992): 324–31. http://dx.doi.org/10.1007/bf00574768.

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JENSEN, C. H., and C. M. JENSEN. "Biodegradable Pins Versus Kirschner Wires in Hand Surgery." Journal of Hand Surgery 21, no. 4 (August 1996): 507–10. http://dx.doi.org/10.1016/s0266-7681(96)80056-8.

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We compared biodegradable pins with standard Kirschner wires in the fixation of fractures, arthrodeses and osteotomies in the hand in a prospective, randomized study. Eleven patients were allocated to the biodegradable pin group and 12 to the Kirschner wire group. Age, gender, operative procedure and postoperative treatment did not differ in the two groups. All patients were evaluated after 6 months. No differences in time to union or complication rates were found, but the number of additional operative procedures in the Kirschner wire group significantly exceeded the number needed in the biodegradable pin group.

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Huber, W. "Historical remarks on Martin Kirschner and the development of the Kirschner (K)-wire." Indian Journal of Plastic Surgery 41, no. 1 (2008): 89. http://dx.doi.org/10.4103/0970-0358.41122.

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Huber, W. "Historical remarks on Martin Kirschner and the development of the Kirschner (K)-wire." Indian Journal of Plastic Surgery 41, no. 01 (January 2008): 89–92. http://dx.doi.org/10.1055/s-0039-1699238.

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Lee, Keun-Bae, Chang-Young Seo, Chang-Ich Hur, Eun-Sun Moon, and Jae-Jun Lee. "Outcome of Proximal Chevron Osteotomy for Hallux Valgus With and Without Transverse Kirschner Wire Fixation." Foot & Ankle International 29, no. 11 (November 2008): 1101–6. http://dx.doi.org/10.3113/fai.2008.1101.

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Background: Proximal chevron osteotomy (PCO) for hallux valgus is inherently more stable than the other forms of proximal metatarsal osteotomy, but complications, such as, delayed union, nonunion, and malunion can occur. In this study, we have compared results of two axial Kirschner wire fixation with or without transverse Kirschner wires in PCO for moderate to severe hallux valgus deformities. Methods: A prospective study was conducted on 65 patients (85 feet) that underwent PCO and a distal soft tissue procedure for moderate to severe hallux valgus. Patients were divided into two groups, two axial Kirschner wire fixation (Group I) and two axial and supplementary transverse Kirschner wire fixation (Group II). Group I comprised 41 feet of 32 patients and Group II 44 feet of 33 patients. Results: Average AOFAS scores were 52.8 points in group I and 49.6 points in group II preoperatively, and 92.8 and 89.6 points, respectively, at last followup. Patients were very satisfied or satisfied in 92.7% in Group I and 93.2% in Group II. Average hallux valgus angles in Groups I and II changed from 34.9 degrees and 37.2 degrees preoperatively to 12.3 degrees and 13.9 degrees postoperatively, and intermetatarsal angles in Groups I and II changed from an average of 17.9 degrees and 17.2 degrees preoperatively to 10.3 degrees and 10.4 degrees postoperatively. No significant inter-group differences were found. Conclusion: Supplementary transverse Kirschner wire fixation is not recommended for proximal metatarsal chevron osteotomy since two axial Kirschner wires provided sufficient stability. Level of Evidence: I, Prospective Radomized Study

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DIWAKER, H. N., and J. STOTHARD. "The Role of Internal Fixation in Closed Fractures of the Proximal Phalanges and Metacarpals in Adults." Journal of Hand Surgery 11, no. 1 (February 1986): 103–8. http://dx.doi.org/10.1016/0266-7681_86_90027-6.

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The results of Kirschner wire and A.O. mini-screw fixation of fractures of the proximal phalanges and metacarpals in adults are compared with conservative treatment of displaced fractures and better results emerge from the use of A.O. screws than of Kirschner wires.

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Gingrass, David J. "Kirschner Pin Migration Associated with the Sliding Genioplasty." American Journal of Cosmetic Surgery 10, no. 1 (March 1993): 15–19. http://dx.doi.org/10.1177/074880689301000104.

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The sliding genioplasty for cosmetic augmentation of microgenia is a common procedure performed by maxillofacial and cosmetic surgeons. There are multiple designs for this osteotomy, and multiple fixation techniques proposed, among which include wires, screws, bone plates, and pins. Likewise, there are many advantages and disadvantages to each of the designs and the fixation techniques that will be utilized according to the surgical indications and the surgeon's preference. A techique used at the Medical College of Wisconsin in Milwaukee involves fixation of the osteotomy segments with Kirschner pins placed at multiple divergent angles. This technique allows for placement of the free segments in virtually any location, and provides for a type of rigid stabilization, particularly in large anterior and vertical movements. One criticism that has been suggested with the use of Kirschner pins is the possibility of migration. This retrospective study evaluates 13 patients who underwent augmentation genioplasty, rigidly fixated with Kirschner pins. Twenty-eight total Kirschner pins were placed, with one being removed. The mean postoperative follow-up was 32 months, and the average number of pins placed was 2.15 per patient. It would appear then, from this study, that migration of Kirschner pins when used with the sliding genioplasty, is not a significant postoperative concern.

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Ip, D., and WL Tsang. "Medial Humeral Epicondylar Fracture in Children and Adolescents." Journal of Orthopaedic Surgery 15, no. 2 (August 2007): 170–73. http://dx.doi.org/10.1177/230949900701500209.

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Purpose. To assess treatment outcomes of young patients with medial epicondylar fracture of the elbow using standard operative protocols. Methods. 24 consecutive patients with medial humeral epicondylar fracture underwent surgery by one of the 3 methods: (1) 2 parallel Kirschner wires, (2) 2 parallel Kirschner wires plus a tension-band wire, and (3) a screw plus an anti-rotation Kirschner wire. Fractures displaced less than 5 mm were treated conservatively (casting for 3 weeks). Outcome was assessed clinically and radiologically. The Mayo Clinic Elbow Performance Index was measured. Results. The 3 patients with undisplaced fractures had good radiological results and scores. One patient with a displaced fracture refused surgery and subsequently developed pseudarthrosis and cubitus valgus. All operatively treated patients had good scores, but 2 treated with 2 parallel Kirschner wires alone developed pseudarthrosis. Patients in this group needed longer rehabilitation to attain a functional range of movement than those in other groups (treated together with a tension-band wire or screw). Conclusion. Surgery is recommended for children with displaced medial epicondylar fractures of more than 5 mm. The use of a tension-band wire, instead of a screw, together with Kirschner wires is the preferred treatment for younger children.

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Vermeer, L. C., and R. Kooijman. "“Twist of the Wrist” A Rare Case of Carpal Dislocation." HAND 4, no. 3 (February 5, 2009): 308–10. http://dx.doi.org/10.1007/s11552-009-9168-9.

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A rare case of a scaphoid–trapezium dislocation is presented. The treatment was open reduction, ligament repair, and internal fixation with a Kirschner wire. After 4 weeks of immobilization, the Kirschner wire was removed, and full recovery was obtained 12 weeks after the trauma.

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Koch, Elke, and Albrecht Kirschner. "Rezension von: Kirschner, Albrecht (Hrsg.), Deserteure, Wehrkraftzersetzer und ihre Richter." Zeitschrift für Württembergische Landesgeschichte 73 (March 30, 2022): 407–8. http://dx.doi.org/10.53458/zwlg.v73i.2316.

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Albrecht Kirschner (Hg.), Deserteure, Wehrkraftzersetzer und ihre Richter, Marburger Zwischenbilanz zur NS-Militärjustiz vor und nach 1945, hg. von Albrecht Kirschner im Auftrag der Geschichtswerkstatt Marburg e. V. (Veröffentlichungen der historischen Kommission für Hessen 74), Marburg 2010. VII, 335 S. ISBN 978-3-942225-10-6. € 24,–

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Lee, Da Woon, Si Hyun Kwak, Hwan Jun Choi, and Jun Hyuk Kim. "Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision." Archives of Craniofacial Surgery 23, no. 5 (October 20, 2022): 220–27. http://dx.doi.org/10.7181/acfs.2022.00934.

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Background: Frontal sinus fractures are relatively rare. Their surgical management significantly differs depending on whether the posterior wall is invaded and the clinical features vary. A bicoronal incision or endoscopic approach can be used. However, the minimally invasive approach has been attracting attention, leading us to introduce a simple and effective surgical method using multiple-threaded Kirschner wires.Methods: All patients had isolated anterior wall fractures without nasofrontal duct impairment. The depth from the skin to the posterior wall was measured using computed tomography to prevent injury. The edge of the bone segment on the skin was marked, a threaded Kirschner wire was inserted into the center of the bone segment, and multiple Kirschner wires were gently reduced simultaneously.Results: Surgery was performed on 11 patients. Among them, seven patients required additional support for appropriate fracture reduction. Therefore, a periosteal elevator was used as an adjunct through a small sub-brow incision because the reduction was incomplete with the Kirschner wire alone. The reduction results were confirmed using facial bone computed tomography 1 to 3 days postoperatively. The follow-up period was 3 to 12 months.Conclusion: The patients had no complications and were satisfied with the surgical results. Here we demonstrated an easy and successful procedure to reduce a pure anterior wall frontal sinus fracture via non-invasive threaded Kirschner wire reduction.

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Goerig, M., and J. Schulte am Esch. "Martin Kirschner: Anästhesist - Intensivmediziner - Schmerztherapeut." AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie 29, no. 06 (January 22, 2008): 343–53. http://dx.doi.org/10.1055/s-2007-996756.

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Marchi, E., M. P. Reis, and M. V. Carvalho. "Transmediastinal migration of Kirschner wire." Interactive CardioVascular and Thoracic Surgery 7, no. 5 (October 1, 2008): 866–70. http://dx.doi.org/10.1510/icvts.2008.185850.

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Venissac, Nicolas, Marco Alifano, Marcel Dahan, and Jérôme Mouroux. "Intrathoracic migration of Kirschner pins." Annals of Thoracic Surgery 69, no. 6 (June 2000): 1953–55. http://dx.doi.org/10.1016/s0003-4975(00)01198-x.

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Kurup, Harish V. "Kirschner wires for Colles’ fracture." Injury 37, no. 10 (October 2006): 1027–28. http://dx.doi.org/10.1016/j.injury.2006.05.022.

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Duan, Xiaojun, Peng He, Huaquan Fan, Chengchang Zhang, Fuyou Wang, and Liu Yang. "Application of 3D-Printed Personalized Guide in Arthroscopic Ankle Arthrodesis." BioMed Research International 2018 (September 12, 2018): 1–8. http://dx.doi.org/10.1155/2018/3531293.

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Objective. To accurately drill the Kirschner wire with the help of the 3D-printed personalized guide and to evaluate the feasibility of the 3D technology as well as the outcome of the surgery. Methods. Patients’ DICM data of ankle via CT examinations were introduced into the MIMICS software to design the personalized guides. Two 2mm Kirschner wires were drilled with the help of the guides; the C-arm fluoroscopy was used to confirm the position of the wires before applying the cannulated screws. The patients who underwent ankle arthrodesis were divided into two groups. The experimental group adopted the 3D-printed personalized guides, while the control group received traditional method, i.e., drilling the Kirschner wires according to the surgeon’s previous experience. The times of completing drilling the Kirschner wires to correct position were compared between the two groups. Regular follow-ups were conducted to statistically analyze the differences in the ankle fusion time and AOFAS scores between the two groups. Results. 3D-printed personalized guides were successfully prepared. A total of 29 patients were enrolled, 15 in the experimental group and 14 in the control group. It took 2.2 ± 0.8 minutes to drill the Kirschner wires to correct position in the experimental group and 4.5 ± 1.6 minutes in the control group (p=0.001). No obvious complications occurred in the two groups during and after surgery. Postoperative radiographs confirmed bony fusion in all cases. There were no significant differences in the fusion time (p=0.82) and AOFAS scores at 1 year postoperatively between the two groups (p=0.55). Conclusions. The application of 3D-printed personalized guide in assisting the accurate drilling of Kirschner wire in ankle arthrodesis can shorten the operation time and reduce the intraoperative radiation. This technique does not affect the surgical outcome. Trial Registration Number. This study is registered on www.clinicaltrials.gov with NCT03626935.

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Jang, Jin Woo, Jaeyoung Cho, and Jin Sik Burm. "Inferomedially impacted zygomatic fracture reduction by reverse vector using an intraoral approach with Kirschner wire." Archives of Plastic Surgery 48, no. 1 (January 15, 2021): 69–74. http://dx.doi.org/10.5999/aps.2020.02173.

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Background In inferomedially rotated zygomatic fractures sticking in the maxillary sinus, it is often difficult to achieve complete reduction only by conventional intraoral reduction. We present a new intraoral reduction technique using a Kirschner wire and its clinical outcome.Methods Among 39 inferomedially impacted zygomatic fractures incompletely reduced by a simple intraoral reduction trial with a bone elevator, a Kirschner wire (1.5 mm) was vertically inserted from the zygomatic body to the lateral orbital rim in 17 inferior-dominant rotation fractures and horizontally inserted to the zygomatic arch in nine medial-dominant and 13 bidirectional rotation fractures. A Kirschner wire was held with a wire holder and lifted in the superolateral or anterolateral direction for reduction. Following reduction of the zygomaticomaxillary fracture, internal fixation was performed.Results Fractures were completely reduced using only an intraoral approach with Kirschner wire reduction in 33 cases and through an additional lower lid or transconjunctival incision in six cases. There were no surgical complications except in one patient with undercorrection. Postoperative 6-month computed tomography scans showed complete bone union and excellent bone alignment. Four patients experienced difficulty with upper lip elevation; however, these problems spontaneously resolved after manual tissue lump massage and intralesional steroid (Triamcinolone) injection.Conclusions We completely reduced infraorbital rim fractures, zygomaticomaxillary buttresses, and zygomaticofrontal suture fractures in 84% of patients through an intraoral approach alone. Intraoral Kirschner wire reduction may be a useful option by which to obtain effective and powerful reduction motion of an inferomedially rotated zygomatic body.

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Inal, Sermet, Kadir Gok, Arif Gok, Ahmet Murat Pinar, and Canan Inal. "Comparison of Biomechanical Effects of Different Configurations of Kirschner Wires on the Epiphyseal Plate and Stability in a Salter-Harris Type 2 Distal Femoral Fracture Model." Journal of the American Podiatric Medical Association 109, no. 1 (January 1, 2019): 13–21. http://dx.doi.org/10.7547/16-112.

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Background: We sought to investigate the different configurations of Kirschner wires used in distal femur Salter-Harris (SH) type 2 epiphyseal fracture for stabilization after reduction under axial, rotational, and bending forces and to define the biomechanical effects on the epiphyseal plate and the fracture line and decide which was more advantageous. Methods: The SH type 2 fracture was modeled using design software for four different configurations: cross, cross-parallel, parallel medial, and parallel lateral with two Kirschner wires, and computer-aided numerical analyses of the different configurations after reduction were performed using the finite element method. For each configuration, the mesh process, loading condition (axial, bending, and rotational), boundary conditions, and material models were applied in finite element software, and growth cartilage and von Mises stress values occurring around the Kirschner wire groove were calculated. Results: In growth cartilage, the stresses were highest in the parallel lateral configuration and lowest in the cross configuration. In Kirschner wires, the stresses were highest in the cross configuration and lowest in the cross-parallel and parallel lateral configurations. In the groove between the growth cartilage and the Kirschner wire interface, the stresses were highest in the parallel lateral configuration and lowest in the cross configuration. Conclusions: The results showed that the cross configuration is advantageous in fixation. In addition, in the SH type 2 epiphyseal fracture, we believe that the fixation shape should not be applied in the lateral configuration.

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Florek, Jakub, Ireneusz Kotela, Filip Georgiew, Witold Zieńczuk, and Tomasz Rzeszutek. "Comparison of Radiographic Outcomes of Surgical Treatment in Patients with Distal Radial Fractures." Ortopedia Traumatologia Rehabilitacja 20, no. 6 (December 31, 2018): 461–70. http://dx.doi.org/10.5604/01.3001.0012.8395.

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Background. Unstable and comminuted distal radial fractures require surgical treatment by percutaneous insertion of Kirschner wires, open reduction, and fixation with a non-locking or locking plate or with an external device. Choosing a surgical method that produces “better” outcomes may help select the most efficient treatment method. Material and methods. The study group included 100 patients after surgical treatment by closed reduction and simple fixation with Kirschner wires and by open reduction and LCP locking plate fixation. Radiographic assessment was based on images obtained before the surgery, immediately after fracture reduction, and at 6 weeks, 6 months, and 12 months after the procedure. Results. A comparison of the volar tilt angle in patients after fixation with Kirschner wires and LCP plates did not show any statistically significant differences before the surgery or at 6 weeks. A difference in the outcomes was found at 6 and 12 months and it turned out to be highly statistically significant. A comparison of the inclination angle and radial height in patients after Kirschner wire and LCP plate fixation showed statistically significant differences at 6 weeks, 6 months, and 12 months. A comparison of the radiographic outcomes using the Sarmiento classification in patients after Kirschner wire and LCP plate fixation revealed statistically significant differences at all follow-up time points. Conclusions. The radiographic parameters were superior in patients treated by open reduction and LCP plate fixation. The difference was seen with regard to all the parameters studied.

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Vedel, Jens-Christian, Rasmus Wejnold Jorgensen, and Claus Hjorth Jensen. "Arthrodesis of the Distal Interphalangeal Joint and the Thumb Interphalangeal Joint: A Retrospective Comparison of Kirschner Wires and the Acutrak 2 Headless Compression Screw." Open Orthopaedics Journal 13, no. 1 (July 31, 2019): 166–69. http://dx.doi.org/10.2174/1874325001913010166.

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Background: Headless compression screws have become first choice for achieving arthrodesis in the distal interphalangeal joint and thumb interphalangeal joint. Only few comparisons between headless compression screws and other methods have been published. Objective: To assess healing and complication rate after arthrodesis of the distal interphalangeal joint or the thumb interphalangeal joint using a headless compression screw or Kirschner wires. Methods: A retrospective analysis of 148 consecutive primary fusions performed with the Acutrak 2 headless compression screw (n=107) or K-wires (n=41) was conducted. Healing was assessed clinically and radiographically at 6 to 8 weeks postoperatively. Results: In 89% of cases fusion had been achieved at 6 to 8 weeks postoperatively using the headless compression screw. 7 cases healed after 8 weeks. Secondary surgery with screw removal was required in 11 cases due to screw prominence, infection or non-union. In 71% of cases fusion had been achieved at 6 to 8 weeks postoperatively using Kirschner wires showing a lower fusion rate at this stage as compared to the headless compression screw group (p<0.05). 9 joints in the Kirschner wire group fused at some point after 8 weeks of follow up yielding a total fusion rate of 93% which was similar to 96% in the headless compression screw group (p>0.05). One infection occurred in the Kirschner wire group. Conclusion: Arthrodesis can be achieved with either a headless compression screw or Kirschner wires both showing equivalent total fusion rates though fusion may occur earlier using a headless compression screw.

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Li, Hong-Yun, Sheng-Kun Li, Ri Zhou, Shi-Yi Chen, and Ying-Hui Hua. "No Difference between Percutaneous and Arthroscopic Techniques in Identifying the Calcaneal Insertion during Ankle Lateral Ligament Reconstruction: A Cadaveric Study." BioMed Research International 2019 (January 29, 2019): 1–5. http://dx.doi.org/10.1155/2019/2128960.

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Background. Both percutaneous and arthroscopic techniques have been introduced in anatomic ankle lateral ligaments reconstruction. The purpose of this study was to compare these two techniques in identifying the calcaneal insertion of the calcaneofibular ligament (CFL). Methods. Fifteen fresh-frozen human ankle cadaver specimens were used in this study. Each specimen was tested in three stages. For stage 1, each specimen was evaluated under arthroscopy. After debridement was performed, the insertion of the CFL on the calcaneus was identified, and a 1.5mm Kirschner wire was drilled at the center of the insertion. For stage 2, a percutaneous technique was used to identify the center of the insertion of the CFL. A second 1.5 mm Kirschner wire was drilled through the skin marker. For stage 3, the ankle was dissected, the footprint of the CFL was identified under direct vision, and the distances between the center of the CFL insertion on the calcaneus and the two Kirschner wires were measured, respectively. Results. In the arthroscopic technique group, the mean distance from the Kirschner wire to the center of the CFL insertion in the calcaneus was 3.4 ± 1.3 mm. In the percutaneous technique group, the mean distance from the Kirschner wire to the center of the CFL insertion was 3.2 ± 1.4 mm. No significant difference was found between the two groups. Conclusion. No difference in identifying the calcaneal insertion of the CFL was found between the percutaneous and the arthroscopic ankle lateral ligaments reconstruction technique. Both techniques can be used during anatomic ligaments reconstruction in treatment of chronic ankle instability.

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Furquan, Qazi Muhammad, Naveed Ahmed Solangi, Muhammad Bux Chachar, Ghulam Mustafa Kaimkhani, Malik Wasim Ahmed, and Muhammad Ishtiyaque. "INTRA-ARTICULAR DISTAL RADIUS FRACTURES." Professional Medical Journal 22, no. 07 (July 10, 2015): 944–48. http://dx.doi.org/10.29309/tpmj/2015.22.07.1191.

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Objectives: To determine functional outcome of percutaneous Kirschner wirefixation and short arm cast in intra-articular distal radius fractures in patients of 20-70 years.Study Design: Descriptive case series. Setting: Department of Orthopedic Surgery, DowUniversity of Health Sciences / Civil Hospital Karachi. Period: 1st April, 2013 to 30th September,2013. Methods: A total of 62 patients with closed type III distal fractures according to Frykmanclassification were included in this study. Patient lying in supine position and after generalanesthesia, closed reduction was done with the forearm in prone position, aiming to restorenormal anatomical position. Two Kirschner wires were inserted from radial styloid process inparallel and oblique fashion to the medial cortex of the radius and one transversely from lateralto medial for intra-articular fragments. Final functional outcome was assessed after 12 weeks ofsurgery and recorded on pre-designed Proforma. Results: Acceptable functional outcome ofpercutaneous Kirschner wire fixation and short arm cast in intra-articular distal radius fractureswas observed in 80.65% (50/62) cases. Conclusions: It is concluded that functional outcomeof percutaneous Kirschner wire fixation and short arm cast procedure is satisfactory in intraarticulardistal radius fractures and it appears to be an easy, technically less demanding andeffective method for stabilization, so this procedure can be applied for patients with thesefractures.

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Verpaalen, Valentine D., Daniel D. Lewis, and Gary A. Billings. "Biomechanical Comparison of Three Stabilization Methods for Tibial Tuberosity Fractures in Dogs: A Cadaveric Study." Veterinary and Comparative Orthopaedics and Traumatology 34, no. 04 (May 12, 2021): 279–86. http://dx.doi.org/10.1055/s-0041-1726082.

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Abstract Objective The aim of this study was to compare the biomechanical properties of a hybrid external skeletal fixator (HESF) construct to the placement of paired interfragmentary Kirschner wires alone, and pin and tension band wire (PTBW) fixation for the stabilization of simulated tibial tuberosity fractures in dogs. Study Design Tibias were harvested from 12 skeletally mature dog cadavers weighing 20 to 30 kg. An osteotomy was made through the base of the tibial tuberosity, which was subsequently repaired with either paired Kirschner wires, PTBW fixation or a HESF. A tensile load was applied to the tibial tuberosity until failure occurred. Mode of failure was described and biomechanical parameters obtained were compared between fixation groups. Results The PTBW fixation and HESF construct afforded greater stiffness and load at 3 mm of axial displacement compared with fixation with Kirschner wires alone. There was no significant difference in stiffness and load at 3 mm displacement between PTBW and HESF fixation. Failure occurred by bending and pullout of the Kirschner wires for all fixation groups, preceded by untwisting of the knot in PTBW specimens. Conclusion The HESF may provide a favourable alternative to PTBW fixation for tibial tuberosity avulsion fracture stabilization in dogs with substantial remaining growth potential.

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Oliveira, V., L. Costa, R. Aido, I. Sá, V. Vilaça, and C. Silva. "Artrodese interfalângica: eficácia e retorno laboral com fios Kirschner e parafuso Acutrak®." Revista Iberoamericana de Cirugía de la Mano 40, no. 01 (May 2012): 051–56. http://dx.doi.org/10.1055/s-0037-1606813.

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A artrodese interfalângica (IF) é um procedimento osteoarticular frequente e os fios de Kirschner são os mais usados. Outras técnicas descritas são parafusos compressivos ou, recentemente, parafuso sem cabeça, completamente roscado, Acutrak® (Acumed LLC, Hillsboro, OR). Os autores propuseram comparar duas técnicas de artrodese IF: com fios Kirschner e parafusos Acutrak®. Trata-se de um estudo retrospectivo de 2009 a 2012 englobando 67 artrodeses. Destes foram excluídos doentes com infecção, osteopenia ou perda óssea como artrite reumatóide. Obteve-se um total de 53 artrodeses: 22 com fios Kirschner (grupo I) e 31 com parafusos Acutrak® (grupo II). Foi determinada a taxa e tempo de fusão, complicações e tempo de retorno laboral. Os resultados foram analisados pelo SPSS® 20 Statistics (p<0.05). No grupo I, verificou-se 77.3% de fusão com 9% de complicações menores. No grupo II ocorreu consolidação em 100%, na ausência de complicações. O tempo médio de fusão foi 9.6 (r: 6-14) semanas no grupo I e 5.1 (r: 4-8) semanas no grupo II. O retorno laboral foi às 11.5 semanas e 5.4 semanas, respectivamente. O parafuso Acutrak® permite uma artrodese mais eficaz que os fios Kirschner e retorno laboral precoce.

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Hauk, Maria. "Kirschner-Drähte über der Haut belassen?" Orthopädie und Unfallchirurgie 8, no. 4 (August 2018): 62. http://dx.doi.org/10.1007/s41785-018-0608-z.

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Ozarslan, F., O. Arikan, M. Acat, M. Arikan, and V. Temel. "Intrathoracic migration of a Kirschner wire." Journal of Surgical Case Reports 2014, no. 1 (January 27, 2014): rjt132. http://dx.doi.org/10.1093/jscr/rjt132.

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Kumar, Santosh, Shrawan Kumar Singh, Kumar Jayant, Swati Agrawal, Kalpesh Mahesh Parmar, and Sriharsha Ajjoor Shankargowda. "Forgotten Kirschner Wire Causing Severe Hematuria." Case Reports in Urology 2014 (2014): 1–3. http://dx.doi.org/10.1155/2014/305868.

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Kirschner wire (K-wire) is commonly used in the treatment of hip fracture and its migration into pelvis leading to bladder injury is a very rare complication. Nonremoval of these devices either because of lack of followup or because of prolonged requirement due to disease process is associated with this complication. We report a case of a patient who presented with acute onset severe hematuria with clot retention secondary to perforation of bladder by a migrated K-wire placed earlier, for the treatment of hip fracture. Initial imaging showed its presence in the soft tissues of the pelvis away from the major vascular structures. Patient was taken for emergency laparotomy and wire was removed after cystotomy. Postoperative period was uneventful and patient was discharged in satisfactory condition. K-wires are commonly used in the management of fracture bones and their migration has been reported in the literature although such migration in the intrapelvic region involving bladder is very rare. Early diagnosis and prompt removal of such foreign bodies are required to avert potentially fatal involvement of major structures.

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Bedi, Gurminder Singh, S. S. Gill, Maninder Singh, and G. N. Lone. "Intrathoracic Migration of a Kirschner Wire." Journal of Trauma: Injury, Infection, and Critical Care 43, no. 5 (November 1997): 865–66. http://dx.doi.org/10.1097/00005373-199711000-00023.

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Fong, Yi-Chin, Horng-Chaung Hsu, and Wu-Chou Lin. "Intrapelvic Migration of a Kirschner Wire." Journal of the Chinese Medical Association 68, no. 2 (February 2005): 96–98. http://dx.doi.org/10.1016/s1726-4901(09)70143-1.

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Lohn, J. W. G., S. A. Hussain, and H. J. C. R. Belcher. "Modelling for crossed Kirschner wire fixation." Journal of Hand Surgery (European Volume) 37, no. 9 (March 28, 2012): 900–901. http://dx.doi.org/10.1177/1753193412441125.

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Dudko, Sawomir, Damian Kusz, and Adam Pierzchaa. "Lisfranc injury—fixation with Kirschner wires." Foot and Ankle Surgery 10, no. 1 (January 2004): 5–8. http://dx.doi.org/10.1016/s1268-7731(03)00102-4.

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Whipple, Terry L., and Gary G. Poehling. "Kirschner wire fixation through anatomic snuffbox." Journal of Hand Surgery 21, no. 2 (March 1996): 322–23. http://dx.doi.org/10.1016/s0363-5023(96)80135-3.

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Goodsett, James R., Andrew C. Pahl, Jeffrey N. Glaspy, and Marilyn M. Schapira. "Kirschner Wire Embolization to the Heart." Chest 115, no. 1 (January 1999): 291–93. http://dx.doi.org/10.1378/chest.115.1.291.

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Kumar, Pankaj, Rajeev Godbole, Gareth M. Rees, and Pradip Sarkar. "Intrathoracic Migration of a Kirschner Wire." Journal of the Royal Society of Medicine 95, no. 4 (April 2002): 198–99. http://dx.doi.org/10.1177/014107680209500409.

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Kirschner, Robin. "Meet Editorial Board Member Robin Kirschner." Journal of Radiology Nursing 29, no. 3 (September 2010): 68. http://dx.doi.org/10.1016/j.jradnu.2010.06.004.

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de Vries Reilingh, Tammo S., Michel F. P. van der Jagt, William A. H. van der Stappen, and Wout B. Barendregt. "Damage Caused by a Kirschner Wire." Journal of Trauma: Injury, Infection, and Critical Care 63, no. 5 (November 2007): 1171–72. http://dx.doi.org/10.1097/01.ta.0000196678.71801.31.

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Journal articles on the topic 'Kirschner'

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