The Effect of Treatment for Various Fractures Using a Knotted Hook-wire

Journal of the Korean Society for Surgery of the Hand 2008;13(1):32-36.
Published online March 1, 2008.

Seung-Koo Rhee, Seok-Whan Song, Soon-Yong Kwon, Man-Kue Bae, Eun-Young Won, Sang-Uk Lee, Beom-Seok Park, Seung-Min Kim

결찰된 갈고리 강선을 이용한 다양한 골절의 치료 효과

이승구, 송석환, 권순용, 배만규, 원은영, 이상욱, 박범석, 김승민

Abstract

We analyzed the effect of knotted hook-wire for acute cases of small bone fractures in hand and children. We made a knotted hook on mid-portion of standard Kirschner’s wire to provide anatomical reduction by manual doctor’s traction on opposite site of fracture and also bend the wire on opposite site and gives some compression by insertion of 1 or 2 buttons. Total 11 cases of intra-articular fracture in hand and children were treated with this knotted hook-wire successfully, and early joint motion could be permitted since 3 days after operation. These are no cases of loss of fracture reduction, skin necrosis by compression on aluminum splint or button and increased fracture gap after knotted hook-wire fixation. They are all united in 4~6 weeks after operation and showed nearly normal adjacent joint motions. The only disadvantage in this knotted hook-wire fixation was mini-skin incision to remove the hooked nail later. We designed a knotted hook-wire and found very good results with easy fracture reduction and their maintenance with some compression on fracture site.