キルシュナー鋼線
WordNet
- string on a wire; "wire beads"
- a metal conductor that carries electricity over a distance (同)conducting wire
- ligament made of metal and used to fasten things or make cages or fences etc
- the finishing line on a racetrack
- fasten with wire; "The columns were wired to the beams for support"
- provide with electrical circuits; "wire the addition to the house"
- a circuit of wires for the distribution of electricity
- the work of installing the wires for an electrical system or device
- tied or bound with wire; "wired bundles of newspapers"
- equipped with wire or wires especially for electric or telephone service; "a well-wired house"
PrepTutorEJDIC
- 〈U〉〈C〉『針金』,金属線 / 〈C〉『電線』,ケーブル;金網 / 《おもに米》〈U〉〈C〉『電報』(telegram) / …‘を'『針金で結ぶ』《+名+together》 / (…のために)〈家など〉‘に'電線を取り付ける《+名+for+名》 / 〈人〉‘に'『電報を打つ』 / (…に…を求めて)電報を打つ《+to+名+for+名》
- (電気の)配線[工事]
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/08/24 23:54:22」(JST)
[Wiki en表示]
Intraoperative X-Ray of a Humerus fixated by Kirschner wires
Kirschner wires or K-wires or pins are sterilized, sharpened, smooth stainless steel pins. Introduced in 1909 by Martin Kirschner, the wires are now widely used in orthopedics and other types of medical and veterinary surgery. They come in different sizes and are used to hold bone fragments together (pin fixation) or to provide an anchor for skeletal traction. The pins are often driven into the bone through the skin (percutaneous pin fixation) using a power or hand drill. They also form part of the Ilizarov apparatus.
Kirschner Wires used for fixation of a Colles' fracture
Contents
- 1 Variations
- 2 Indications
- 3 Complications
- 4 References
- 5 External links
Variations
Threaded K-wires are manufactured. They are used in situations where backing out of the pin is undesirable but they are weaker.
"Denham Pins" are strong stout wires with a threaded portion in the middle. They are used for skeletal traction with the threads engaging the bone.
Indications
- K-wires are used for temporary fixation during some operations. After definitive fixation they are then removed. The pins are usually removed four weeks post operation.[1]
- They can be used for definitive fixation if the fracture fragments are small (e.g. wrist fractures and hand injuries). In some settings they can be used for intramedullary fixation of bones such as the ulna.
- Tension band wiring is a technique in which the bone fragments are transfixed by K-wires which are then also used as an anchor for a loop of flexible wire. As the loop is tightened the bone fragments are compressed together. Fractures of the kneecap and the olecranon process of the elbow are commonly treated by this method.
- A wire is passed through the skin then transversely through the bone and out the other side of the limb. The wire is then attached to some form of traction so that the pull is applied directly to bone. In traction of the femur for example, the protruding ends of the wire are fixed to the legs of a horsehoe shaped frame which maintains tension in the wire while the crook of the horseshoe is attached via line and pulleys to weights which maintain the traction.
- They can be used for temporary joint immobilization.
Complications
- Pin tract infection: Because K-wires often pass through the skin into bone they form a potential passage for bacteria from the skin to migrate into the bone and cause an infection. In such cases, the area around the pin becomes red and swollen and may start to drain pus. Usually this infection clears up after removal of the pin.
- Breakage: K-wires may bend or break, especially if the fracture does not heal.[2]
- Loss of fixation: Smooth K-wires may back out of the bone losing the fixation. This is especially likely if they pass between two mobile bones.
- Migration of K-wires can occur; instead of backing out the wire can move deeper. K-wires passed across the acromioclavicular (AC) joint in the shoulder have been found to migrate into the chest with the potential to penetrate the major blood vessels, the trachea,[3] lung,[4] or the heart.[5]
References
- ^ http://sussexhandsurgery.co.uk/downloads/surgery/hand/K%20wire%20fixation%20of%20hand%20fractures.pdf
- ^ Cebesoy O, Subasi M, Arpacioglu O (August 2007). "Finsen V, Hofstad M, Haugan H. A rare complication in scaphoid pseudoarthrosis: intraarticlar migration and breaking of Kirschner wire". Injury. 38 (8): 988–9. doi:10.1016/j.injury.2007.04.011. PMID 17631883.
- ^ Mitsuo Nakayama, MD; Masatoshi Gika, MD; Hiroki Fukuda, MD; Takeshi Yamahata, MD; Kohei Aoki, MD; Syugo Shiba, MD; Keisuke Eguchi, MD (2009). "Migration of a Kirschner Wire From the Clavicle Into the Intrathoracic Trachea". Ann Thorac Surg. 88 (2): 653–654. doi:10.1016/j.athoracsur.2008.12.093. PMID 19632433.
- ^ Robert Mazet Jr. (1943). "Migration of a Kirschner Wire From the Shoulder Region Into the Lung:Report of Two Cases". Journal of Bone and Joint Surgery. 25 (2): 477–483. Retrieved 2009-12-15.
- ^ Lenard L, Aradi D, Donauer E (April 2009). "Migrating Kirschner wire in the heart mimics acute coronary syndrome". Eur Heart J. 30 (7): 754. doi:10.1093/eurheartj/ehn548. PMID 19066210.
External links
- Kirschner Wires vs. Steinmann Pins
UpToDate Contents
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English Journal
- Complications of the Kirschner wire cover.
- Maruccia M1, Marcasciano1 M2, Rossi A2, Cigna E2.
- International wound journal.Int Wound J.2016 Feb;13(1):144-145. doi: 10.1111/iwj.12209. Epub 2013 Dec 26.
- PMID 24373222
- Multi-Level Assessment of Fracture Calluses in Rats Subjected to Low-Magnitude High-Frequency Vibration with Different Rest Periods.
- Gao J1,2, Gong H3,4, Huang X5, Zhang R6, Ma R7, Zhu D8.
- Annals of biomedical engineering.Ann Biomed Eng.2016 Jan 19. [Epub ahead of print]
- The aim of this study was to investigate the influences of low-magnitude high-frequency vibration (LMHFV) with different rest period regimes (vibrational loading per day [with or without the loading divided into bouts]; or vibrational loading for 7 day followed by 7 day rest [with or without the l
- PMID 26786343
- [Surgical treatment of ulnar collateral ligament injuries of the thumb metacarpophalangeal joint].
- Ziegler C1, Neshkova I2, Schmidt K2, Meffert R2, Jakubietz M2, Jakubietz R2.
- Operative Orthopadie und Traumatologie.Oper Orthop Traumatol.2016 Jan 14. [Epub ahead of print]
- OBJECTIVE: Reconstruction of the ruptured ulnar collateral ligament of the metacarpophalangeal (MP) joint of the thumb.INDICATIONS: Ruptured ulnar collateral ligament of the thumb MP joint with instability: joint opening of more than 30° in flexion and more than 20° in extension, Stener lesion, di
- PMID 26769008
Japanese Journal
- 整形手術手技 巻き爪・陥入爪の変形矯正にKirschner鋼線を用いた治療
- 胸壁デスモイド腫瘍切除後,キルシュナー鋼線と骨セメントによる胸骨再建を施行した一例
- Kirschner鋼線を用いた単孔式腹腔鏡下胆嚢摘出術
Related Links
- A Kirschner wire, also known as K-wire, is a smooth stainless steel pin with a drill tip. The wire is available in different diameters with various tips. The K-wire is used mainly in orthopedics and plastic surgery and is especially useful ...
- ... .com is an informational site kept up by Modern Grinding. Modern Grinding is a global leader in nitinol Kirscher Wire (K-Wire) manufacturing. Kirschner Wires | K-Wires Skip to content Home About Get a K-Wire Quote ← ...
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