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5K-wire insertion

Insertion of the first smooth K-wire

First, a 1 cm incision is made over the tip of the radial styloid. The radial styloid is exposed by blunt dissection and great care is taken not to injure the superficial branch of the radial nerve or the tendons of the first and third extensor compartments. The drill guide is introduced between the tips of the soft-tissue spreader.

After checking reduction and anticipated direction of the K-wire using image intensification, the K-wire is introduced carefully with a power drill.

The K-wire should just penetrate the opposite cortex of the radial shaft.

When inserting the first K-wire, additional control of the distal fragment may be necessary. This may be achieved with a small pointed awl, inserted percutaneously.