previous section: 3/5 page: 4/7 next

3K-wire fixation

K-wire insertion

A single, or two crossed, smooth 1.6 mm K-wires are inserted through the radial metaphysis, avoiding the growth plate and the perichondrial ring.

The wires should be inserted with an oscillating drill and cooled with saline solution to prevent thermal injury.

The wires may also be inserted by hand using a T-handle.

Ideally, wires are inserted using image intensification control, in order to check the trajectory of the wire and to ensure engagement of the far cortex without penetration of the soft tissues.