Kirschner Wire Case Studies: Journal of the American Podiatric Medical Association

There were two case studies from the recent Journal of the American Podiatric Medical Association which involved Kirschner Wire usage:

Irreducible Metatarsophalangeal Joint Dislocation of the Lesser Toes

We performed a dorsal incision between the second and third metatarsals, and the metatarsal heads were found to be entrapped under the plantar plate. Dislocation reduction was performed without damage to the plantar plate, and one Kirschner wire was used to fix the fourth metatarsal head fracture. The pin was removed 8 weeks after surgery, and the patient regained normal gait and returned to work and his previous physical activity level without recurrent dislocation.

Open Reduction-Internal Fixation of a Navicular Body Fracture with Dorsal Displacement of the First and Second Cuneiforms

He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply.

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