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- W2019901720 abstract "I read the article ‘Do Kirschner wires maintain reduction of displaced Colles’ fractures?’ by Barton et al. 1 Barton T. Chambers C. Lane E. Bannister G. Do Kirschner wires maintain reduction of displaced Colles’ fractures?. Injury. 2005; 36: 1431-1434 Abstract Full Text Full Text PDF PubMed Scopus (23) Google Scholar with great interest. I have some queries for the authors on the article. 1.The authors are inconsistent in their definition of malunion in terms of radial length in the article. In the introduction they have proposed this to be 3 mm and in the discussion they have mentioned this as 2 mm. If it is 3 mm, as quoted in the literature, then reduction should aim at restoring radial length to within 1.4 mm (instead of 0.4 mm as suggested by authors) to allow a further collapse of 1.6 mm. 2.Contrary to the authors statement there are articles quoting radiological outcome in distal radius fractures fixed with Kirschner wires. In our series of 113 patients 2 Kurup H.V. Mandalia V. Shaju K.A. et al. Variables affecting stability of distal radius fractures fixed with K wires—a radiological study. Eur J Orthop Surg Traumatol. 2005; 15: 135-139 Crossref Scopus (5) Google Scholar we found satisfactory radiological outcome in 80% cases. We used Stewart's grading 3 Stewart H.D. Innes A.R. Burke F.D. Factors affecting the outcome of Colles’ fracture: an anatomical and functional study. Injury. 1985; 16: 289-295 Abstract Full Text PDF PubMed Scopus (152) Google Scholar to classify the radiological outcome scoring the radial tilt, dorsal tilt and radial length. We found a mean loss of 8.07° in dorsal tilt in these patients, whereas the authors in this series have observed no loss of dorsal tilt during follow-up. 3.12 patients had a third K wire in this series, details of which seem to be missing from the article. Were any of these Kapandji wires? If they were, did the authors find any difference in terms of loss of radial length between Kapandji and non-Kapandji groups? The literature suggests that use of Kapandji wires improves radiological outcome in these fractures. 4 Strohm P.C. Muller C.A. Boll T. Pfister U. Two procedures for Kirschner wire osteosynthesis of distal radial fractures. A randomized trial. J Bone Joint Surg Am. 2004; 86-A: 2621-2628 PubMed Google Scholar" @default.
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- W2019901720 date "2006-10-01" @default.
- W2019901720 modified "2023-09-29" @default.
- W2019901720 title "Kirschner wires for Colles’ fracture" @default.
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- W2019901720 doi "https://doi.org/10.1016/j.injury.2006.05.022" @default.
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