Original Article

Evaluation of outcome of intramedullary K-wire fixation in Phalanx fractures

Rajendraprasad R. Butala, Jaykumar C. Parsania, Varun S. Agarwal, Shivam Mehra

• Department of Orthopaedics, Padmashree Dr. D. Y. Patil School of Medicine, Nerul, Navi Mumbai, India

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Keywords: Bouquet technique, Hand fracture, Intramedullary nailing, Phalangeal fractures

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Abstract

Objectives: The objective of this study was to evaluate the functional outcome of intramedullary Kirschner wire (K-wire) nailing technique in proximal phalanx fractures. Methods: We conducted a prospective, randomized clinical study to evaluate the functional outcome. 30 patients of isolated proximal phalangeal fracture were treated with intramedullary nailing using K-wire technique. Outcomes were assessed radiologically as well as clinically based on range of movement according to the American Society for Surgery of Hand (ASSH) and QuickDASH Scoring system. Results: Radiologically, all patients showed fracture union at 6-8 weeks. No complications were reported except in one patient who developed bursitis. Conclusion: Treating an unstable proximal phalangeal fracture with intramedullary nailing using K-wire shows outstanding results with minimal to negligible complications.

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