Insertion of the intraepiphyseal K-wire
A smooth 1.25-1.6 mm K-wire is inserted through the radial epiphysis in a direction determined by the fracture pattern. The K-wire should ideally cross the fracture plane as near to 90° as the fracture anatomy permits.
The wire should be inserted with an oscillating drill and cooled with saline solution to prevent thermal injury.
The wire may also be inserted by hand using a T-handle.