Incidence and Risk Factors for Complications of Exposed Kirschner Wires Following Elective Forefoot Surgery:

Foot & Ankle Orthopaedics

JamesMcKenzie¹ 

关键词: Kirschner Wires;    Complications;    Risk Factors;    Forefoot Surgery;    Infection Risk;   

DOI  :  10.1177/2473011418S00345

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Midfoot/ForefootIntroduction/Purpose:Kirschner wires (K-wires) are commonly utilized for temporary metatarsal and phalangeal fixation following forefoot corrective osteotomies. K-wires can remain in place for up to 6 weeks postoperatively and are at risk for wound complications. Their exposure to the outside environment and direct osseous communication makes infection an important concern for the clinician. Early removal, prophylactic antibiotics, and re-operation are potential sequelae of infected K-wires and can affect outcomes. The purpose of this study is to evaluate the incidence of complications of exposed K-wires after forefoot surgery and identify patient or perioperative risk factors for these complications.Methods:A single surgeon retrospective chart review of forefoot surgeries over the past 10 years was undertaken. Inclusion criteria were any adult undergoing elective forefoot surgery with the use of exposed K-wires. Incidence of wound complication defined as cellulitis, pin site drai...

【 授权许可】

CC BY