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Total Wrist Arthrodesis Using Bowed Crossed K-Wires

From the Section of Hand Surgery, Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan

Correspondence: A. Minami MD, Section of Hand Surgery, Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Kita-15-Jo, Nishi-7-Chome, Kita-Ku, Sapporo 060, Japan. E-mail: a-minami{at}med.hokudai.ac.jp

A method of total wrist arthrodesis using a combination of autogenous iliac crest bone graft and "bowed" crossed Kirschner wires is described. The method of bowing the K-wires results in a compressive force on the iliac bone graft. This technique resulted in bony union of 22 wrists in 20 patients. The mean time to union was 12 weeks (range, 8–14 weeks). There were no major postoperative complications. The advantages of this technique are its simplicity, versatility, and reliability which mean that special internal fixation devices are not needed.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 4, 410-415 (1999)
DOI: 10.1054/JHSB.1999.0170


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