Minimal fixation in the treatment of open hand and foot bone fractures caused by explosive devices: case series.
OBJECTIVE
To evaluate minimal fixation method with Kirschner's wires in the treatment of open fractures of the hand and foot short bones, caused by explosive devices.


METHODS
There were 270 wounded persons with open fractures of hand and foot short bones, who were surgically treated at the Department of Surgery at the Osijek University Hospital. The stabilization of an unstable open fracture was performed with intramedullary positioned Kirschner's wires. In a few cases, satisfactory stabilization was achieved with Kirschner's wires positioned percutaneously alongside the wound and perpendicularly through the fracture. In the rest of the wounded, plaster immobilization was sufficient after surgical treatment and fracture reposition.


RESULTS
Among 270 persons with 412 open hand and foot bone fractures, 49% had fracture only in the feet, 27% only in the hands, and 24% in both hands and feet. Unstable short bone fractures were found in 56 patients (21%). Such fractures were stabilized with Kirschner's wires (n=71). In 58 patients (21%) partial hand and foot amputations had to be performed. Reconstructive operations to improve pseudarthrosis after minimal osteosynthesis were performed on 5 short bones (7%). Osteitis was found on four short bones (6%) after minimal osteosynthesis.


CONCLUSIONS
Minimal osteosynthesis with Kirschner's wires is a reliable and adequate method of the treatment of open unstable short bone fractures caused by explosive devices.
Has
B
B
Department of Surgery, Osijek University Hospital, Croatia. borislav.has@os.tel.hr
Jovanović
S
S
Wertheimer
B
B
Kondza
G
G
Grdić
P
P
Leko
K
K
D001753:Blast Injuries / Q000601:surgery*; D001864:Bone Wires; D017523:Croatia; D005107:Explosions; D005260:Female; D018409:Foot Injuries / Q000209:etiology / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D005597:Fractures, Open / Q000601:surgery*; D006230:Hand Injuries / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D016896:Treatment Outcome; D014857:Warfare