Retrograde Cross-Pinning of Transverse Metacarpal and Phalangeal Fractures

Abstract

Six different techniques of Kirschner wire fixation are compared in experimental transverse diaphyseal fractures of metacarpals and phalanges. Open retrograde cross-pinning provides a relatively simple means of obtaining consistently accurate pin placement with maximal stability. The technique is described, and the use of a preview pin and hypodermic needle guide are introduced. The indications, advantages, potential complications and clinical application are discussed.