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Journal of Hand Surgery (British and European Volume)
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Articles

Customized Staple Fixation in Hand and Wrist Surgery

K. P. LOOI
J. CHIA
A. K. KOUR
R. W. H. PHO

From the Department of Hand and Reconstructive Microsurgery, National University Hospital and the Department of Orthopaedic Surgery, National University of Singapore, Singapore

Correspondence: Prof. R. W. H. Pho, Department of Orthopaedic Surgery, National University of Singapore, Lower Kent Ridge Road, Singapore 0511.

Fixation of small bones in the adult and the child’s hands remains a challenge. The authors present a technique of bone fixation using customized staples made intraoperatively from K-wires (0.9–1.6 mm in diameter). Their specific purpose was to provide axial alignment and rotational stability for carpal bone fixation and for epiphysiodesis in phalanges. This technique was used in 14 cases (11 adult and three paediatric). No bone shattering, implant breakage, implant loosening or infection occurred. As K-wires are quite malleable, custom sized and shaped staples which follow the bone contours could be made to give a more exact fixation. All cases had satisfactory outcomes, achieving the preoperative objectives of bony fixation. This method is safe, precise and technically easy. It is also relatively cheap and only requires simple, standard instruments.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 6, 726-729 (1997)
DOI: 10.1016/S0266-7681(97)80434-2
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