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Srpski arhiv za celokupno lekarstvo 2014 Volume 142, Issue 1-2, Pages: 34-39
https://doi.org/10.2298/SARH1402034V
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Evaluation of reversal osteofixation using K-wires in digital replantation

Vučetić Čedomir ORCID iD icon (Clinic of Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade + School of Medicine, Belgrade)
Vukašinović Zoran (School of Medicine, Belgrade + Institute of Orthopedic Surgery “Banjica”, Belgrade)
Manojlović Radovan (Clinic of Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade + School of Medicine, Belgrade)
Tulić Goran (Clinic of Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade + School of Medicine, Belgrade)
Vučković Čedo (Clinic of Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade)
Spasovski Duško ORCID iD icon (School of Medicine, Belgrade + Institute of Orthopedic Surgery “Banjica”, Belgrade)
Todorović Aleksandar (Clinic of Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade)
Bumbaširević Marko (Clinic of Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade + School of Medicine, Belgrade)

Introduction. Modified, reversal technique of fixation in digital replantation using K-wires was analyzed. The results obtained from the standard technique and reversal technique of fixation using K-wires were compared. Objective. The aim was to compare the results of osteofixation using K-wires in digital replantation when either standard or reversal, modified technique was used. Methods. A retrospective study included 103 replanted fingers in 72 patients. The first group included standard fixation using K-wires and the second group included fixation using K-wires, but with a modified technique. Modification consisted of the opposite order of moves during the phalanges fixation compared to the standard technique: first, K-wire was introduced intramedullary in the proximal phalanx and the top of the wire was drawn out through the skin in proximal part of the finger or hand. Second, distal part of the wire was introduced in the phalanx of the amputated part of the finger intramedullary until the wire entered the cortex. Results. Duration of bone healing after digital replantation was shorter in cases where reversal technique was used in comparison with standard technique (7.2 weeks compared to 7.5 weeks). Conclusion. The comparison of standard and reversal technique of phalangeal fixation with K-wires in digital replantation shows that both techniques are useful. Reversal technique expands the choice of operative techniques for bone fixation during the replantation. It shows some advantages and enables avoidance of vein injuries.

Keywords: digital replantation, osteofixation using K-wires, bone healing

Projekat Ministarstva nauke Republike Srbije, br. III 41004 i br. 175095