J Plast Reconstr Aesthet Surg 2020 Sep 6;73(9):1675-1682. Epub 2020 May 6.
Department of Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Centre, BG Trauma Centre, Ludwig-Guttmann-Str. 13, 67071 Ludwigshafen/Rhine, Germany; Department of Hand and Plastic Surgery, University of Heidelberg, Heidelberg, Germany. Electronic address:
In cases with difficult scaphoid screw placement due to small, fragile bone fragments, or transplants and insufficient space, the internal Kirschner wire fixation is a fallback option; however, controversy remains regarding its stability, safety, and outcome. Between 2001 and 2011, 95 patients were treated in our center (n = 80 with cannulated compression screws and n = 15 with Kirschner wires), and retrospectively analyzed. The outcome measurements included the analysis of patient data, union rate and analysis of functional measures, and quality of life. Read More