title: Evaluation of reversal osteofixation using K-wires in digital replantation.
abstract: BACKGROUND
  Modified, reversal technique of fixation in digital replantation using K-wires was analyzed. The results obtained from the standard technique and reversal technique of fixation using K-wires were compared.
  
  
  OBJECTIVE
  The aim was to compare the results of osteofixation using K-wires in digital replantation when either standard or reversal, modified technique was used.
  
  
  METHODS
  A retrospective study included 103 replanted fingers in 72 patients. The first group included standard fixation using K-wires and the second group included fixation using K-wires, but with a modified technique. Modification consisted of the opposite order of moves during the phalanges fixation compared to the standard technique: first, K-wire was introduced intramedullary in the proximal phalanx and the top of the wire was drawn out through the skin in proximal part of the finger or hand. Second, distal part of the wire was introduced in the phalanx of the amputated part of the finger intramedullary until the wire entered the cortex.
  
  
  RESULTS
  Duration of bone healing after digital replantation was shorter in cases where reversal technique was used in comparison with standard technique (7.2 weeks compared to 7.5 weeks).
  
  
  CONCLUSIONS
  The comparison of standard and reversal technique of phalangeal fixation with K-wires in digital replantation shows that both techniques are useful. Reversal technique expands the choice of operative techniques for bone fixation during the replantation. It shows some advantages and enables avoidance of vein injuries.
authors.forename: Cedomir
authors.initials: C
authors.lastname: Vucetić
authors.forename: Zoran
authors.initials: Z
authors.lastname: Vukasinović
authors.forename: Radovan
authors.initials: R
authors.lastname: Manojlović
authors.forename: Goran
authors.initials: G
authors.lastname: Tulić
authors.forename: Cedo
authors.initials: C
authors.lastname: Vucković
authors.forename: Dusko
authors.initials: D
authors.lastname: Spasovski
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Todorović
authors.forename: Marko
authors.initials: M
authors.lastname: Bumbasirević
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D001864:Bone Wires; D016022:Case-Control Studies; D005121:Extremities; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D012092:Replantation / Q000379:methods*; D012189:Retrospective Studies; D013997:Time Factors