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K-wire fixation

Percutaneous K-wire fixation is often used for fractures of the middle phalanx.
The advantages are

  • technically easy
  • minimal soft-tissue lesion
  • affordable cost
  • universal availability


However, there are some disadvantages which can sometimes be significant, such as

  • less stable fixation
  • no compression possible
  • no early mobility
  • may separate the fragments
  • may irritate the skin