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The Hand
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Articles

Retrograde Cross-Pinning of Transverse Metacarpal and Phalangeal Fractures

G. S. EDWARDS, Jr.
E. T. O’BRIEN
M. M. HECKMAN

San Antonio, Texas

Six different techniques of Kirschner wire fixation are compared in experimental transverse diaphyseal fractures of metacarpals and phalanges. Open retrograde cross-pinning provides a relatively simple means of obtaining consistently accurate pin placement with maximal stability. The technique is described, and the use of a preview pin and hypodermic needle guide are introduced. The indications, advantages, potential complications and clinical application are discussed.

The Hand, Original Series, Volume 14, No. 2, 141-148 (1982)
DOI: 10.1016/S0072-968X(82)80005-3
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