title: Low-Cost Intra-Articular Distraction Technique Using Kirschner Wires and a Toothed Lamina Spreader.
abstract: We describe a low-cost (instrument cost) technique for joint distraction using 2 Kirschner wires and a toothed lamina spreader in lieu of a Hintermann distractor. The described technique allows for temporary intra-articular distraction and visualization and preservation of the articular surface with extra-articular instrumentation. The technique can also allow for closed reduction and percutaneous treatment in cases of soft tissue compromise. Additionally, the technique uses common orthopedic surgical instruments, leading to a minimal learning curve for novice surgeons. We have found this distraction technique to be most effective for intra-articular preparation of hindfoot and midfoot arthrodeses and for navicular fracture reduction.
authors.affiliation: Surgeon, Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA. Electronic address: sshymon1@gmail.com.
authors.forename: Stephen Joseph
authors.initials: SJ
authors.lastname: Shymon
authors.affiliation: Chief, Foot and Ankle Surgery, Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA; Surgeon, Congress Medical Associates, Pasadena, CA.
authors.forename: Thomas Gregory
authors.initials: TG
authors.lastname: Harris
mesh_terms: D001864:Bone Wires; D016267:External Fixators; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D013525:Surgical Instruments; D013639:Tarsal Bones / Q000293:injuries / Q000601:surgery*; D013640:Tarsal Joints / Q000601:surgery*; D014948:Wounds, Gunshot / Q000601:surgery
keywords: arthrodesis; distraction; reduction