Paul A S, Kurdy N, Kay P R
Department of Orthopedics, Hope Hospital, Salford, UK.
Acta Orthop Scand. 1994 Aug;65(4):427-9. doi: 10.3109/17453679408995485.
22 patients who had closed displaced metacarpal shaft fractures, treated by transverse percutaneous K-wire fixation were reviewed. In 11 cases, 1 distal and 1 proximal wire were inserted and in the rest, 2 distal and 1 proximal wire were used. The results in patients treated with a single distal wire were unsatisfactory due to pivoting of the distal fragment on the wire with consequent angulation and cosmetic deformity. In those who had 2 wires inserted distally, the reduction position was maintained throughout.
