• 1

    Huber W: Historical remarks on Martin Kirschner and the development of the Kirschner (K)-wire. Indian J Plast Surg 41: 89, 2008.

  • 2

    Franssen BBGM: Kirschner Wires: Insertion Techniques and Bone Related Consequences [dissertation], Utrecht University Repository, Utrecht, the Netherlands, 2010.

    • Search Google Scholar
    • Export Citation
  • 3

    Matthews LS, Hirsch C: Temperatures measured in human cortical bone when drilling. J Bone Joint Surg Am 54: 297, 1972.

  • 4

    Stahl S, Schwartz O: Complications of K-wire fixation of fractures and dislocations in the hand and wrist. Arch Orthop Trauma Surg 121: 527, 2001.

  • 5

    Hsu L, Schwartz E, Kalainov D, et al: Complications of K-wire fixation in procedures involving the hand and wrist. J Hand Surg Am 36: 610, 2011.

  • 6

    Kramer WC, Parman M, Marks RM: Hammertoe correction with K-wire fixation. Foot Ankle Int 36: 494, 2015.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation

“Pilot Hole” Technique for Interphalangeal Joint Fusion of Toes

Nikhil Sharma Department of Trauma and Orthopaedics, The Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, England.

Search for other papers by Nikhil Sharma in
Current site
Google Scholar
PubMed
Close
 MRCSEd, MBChB, PGCert, AFHEA
,
David Morley Department of Trauma and Orthopaedics, The Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, England.

Search for other papers by David Morley in
Current site
Google Scholar
PubMed
Close
  MBChB, MRCS
, and
Dev Damany Department of Trauma and Orthopaedics, The Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, England.

Search for other papers by Dev Damany in
Current site
Google Scholar
PubMed
Close
 MBBS, FRCS
Restricted access

Fusion of an interphalangeal joint of a lesser toe is a commonly used procedure for addressing interphalangeal joint deformities such as a hammer or a claw toe. Fusion can be achieved by insertion of an intramedullary Kirschner wire in a retrograde manner. Deviation of the Kirschner wire from the intramedullary canal into the surrounding soft tissues is common. This can render the fusion unstable and can cause painful soft-tissue irritation and early Kirschner wire loosening, resulting in an unstable nonunion with recurrence of deformity. We describe a simple and reproducible technique to assist with optimal intramedullary placement of the Kirschner wire, thereby reducing the risk of complications after interphalangeal joint fusion of a toe.

Corresponding author: Nikhil Sharma, MRCSEd, PGCert Med Ed, AFHEA, Department of Trauma and Orthopaedics, The Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton Road, Wolverhampton WV10 0QP, United Kingdom. (E-mail: n-sharma@doctors.org.uk)