Wrist Arthrodesis Using K Wires

Abstract

Background Wrist arthrodesis to provide a stable wrist can be done by multiple techniques for various indications. In this article, we aim to describe the technique and outcomes of wrist arthrodesis using K wires, which have the merits of being easier to practice, use minimal hardware and without any donor site morbidity, and provide a stable fixation.

Method Sixteen patients operated from May 2019 to March 2021 in the department of plastic surgery were included in the study. Surgery was done as a day care procedure under local anesthesia. Wrist and first CMC joint fixation was done using K wires, and splintage was given. Patients were subsequently followed up, and splintage was removed based on radiological evidence of bony fusion. Any complications if there were noted and managed.

Result All wrists were fused. The K wires were removed in about 44.5 days (6–7 weeks) and the splintage by 8 to 10 weeks (mean 8.8 weeks). Pin tract infections and subcutaneous pin migration were seen in 12.5% and 18.75% of our patients, respectively, which were conservatively managed.

Conclusion Wrist arthrodesis with dorsal plate fixation is a well-established technique with many advantages but as many complications as well. Fixation with wires is an alternative with lesser complications and comparable results.