Transosseous wiring method for simple transverse shaft fracture of the upper extremity

• Published in: Archives of Hand and Microsurgery Vol. 29; no. 1; pp. 34 - 39
• Main Authors: Choi, SeongJu, Jung, Sung Youn, Kim, Min Bom
• Format: Journal Article
• Language: English
• Published: 대한수부외과학회 01.03.2024
• Subjects: 의학일반
• ISSN: 2586-3290; 2586-3533
• DOI: 10.12790/ahm.23.0039

Purpose: A diaphyseal simple transverse fracture (DSTF) of the upper extremity (UE) requires direct anatomical reduction and absolute stability. No standard efficient method exists for reducing and maintaining a DSTF, despite its importance. Here, we introduce our transosseous wiring (TOW) method for UE-DSTFs.Methods: To maintain reduction, the UE-DSTF was first fixed with TOW before definitive fixation with a locking plate across the fracture. We retrospectively reviewed 15 patients with at least 1 year of postoperative follow-up treatment from 2019 to 2021.Results: All patients had achieved anatomical reduction and bone union at the final follow-up. Three patients had hardware removed because of irritation caused by the plate and screws. However, none of those three patients complained of irritation from the wire. One patient experienced refracture at the same site after hardware removal after a fall. The same technique was used in this case, and the bone union was observed 6 months after surgery.Conclusion: TOW is a simple straightforward method that can be applied without special instruments. It could be an efficient method for interfragmentary compression and attachment of a locking plate without the burden of maintaining the reduction of UE-DSTFs.