Kirschner wire techniques for proximal and middle phalangeal fractures
Nie Guangchen
Abstract：Proximal and middle phalangeal fractures are common hand injuries,and the treatment outcomes directly impact the hand functional recovery and patients'quality of life.Among numerous surgical fixation methods,Kirschner wire(K-wire)fixation plays a significant role in clinical practice due to its effective stabilization,minimal invasion,and cost-effectiveness.This review aims to systematically examine the current application and advantages of K-wire techniques in the treatment of proximal and middle phalangeal fractures.After briefly outlining the histori-cal development of K-wires and analyzing the limitations of traditional K-wire fixations,this review primarily focuses on recent modifications to K-wire designs and fixation techniques based on anatomical approaches and biomechanical features.The technical innovations,biomechanical advantages,and clinical application values are further analyzed,aiming to provide clinicians with a reference for more rational and optimized selection and application of K-wire fixa-tion in the treatment of proximal and middle phalangeal fractures.
Keywords：Proximal and middle phalangeal fracturesKirschner wiresFixation techniques
Publication Date：2025-07-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 481-486 )