Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures
Paediatric hand fractures are common and prompt management is mandatory to achieve a good functional outcome. However many fail to realize that treating a fracture does not only involve bones but the soft tissues, as well. K-wiring itself can be difficult with multiple attempts inadvertently injurin...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Pusat Perubatan Universiti Kebangsaan Malaysia
2019
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| Online Access: | http://journalarticle.ukm.my/15226/ http://journalarticle.ukm.my/15226/1/18_ms0249_pdf_21416.pdf |
| _version_ | 1848813746460295168 |
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| author | Nanchappan S, Parminder GS, Nur Azuatul AK, Tan, JA Ahmad Suparno B, Jamari S, Shalimar Abdullah, |
| author_facet | Nanchappan S, Parminder GS, Nur Azuatul AK, Tan, JA Ahmad Suparno B, Jamari S, Shalimar Abdullah, |
| author_sort | Nanchappan S, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Paediatric hand fractures are common and prompt management is mandatory to achieve a good functional outcome. However many fail to realize that treating a fracture does not only involve bones but the soft tissues, as well. K-wiring itself can be difficult with multiple attempts inadvertently injuring the flexor or extensor tendons and resulting in adhesions. We highlight this possible complication of K-wiring which we believe is under reported due to the perception that K-wiring is a simple procedure. We present a case of a 9-year-old child, who sustained a closed displaced fracture of the base of the proximal phalanx (Salter Harris type 2) of the left index finger. He underwent percutaneous K-wiring but was complicated with severe adhesions of the flexor digitorum profundus (FDP) and flexor digitorum superficialis tendons (FDS). He was unable to flex the proximal and distal interphalangeal joints of the affected finger. We subsequently performed tendon adhesiolysis twice together with A2 pulley reconstruction, to restore movement of the finger. K-wiring of the fingers are not just simple bony procedures but also involve soft tissue components which can be prone to adhesions. |
| first_indexed | 2025-11-15T00:23:05Z |
| format | Article |
| id | oai:generic.eprints.org:15226 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:23:05Z |
| publishDate | 2019 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:152262020-09-21T06:36:46Z http://journalarticle.ukm.my/15226/ Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures Nanchappan S, Parminder GS, Nur Azuatul AK, Tan, JA Ahmad Suparno B, Jamari S, Shalimar Abdullah, Paediatric hand fractures are common and prompt management is mandatory to achieve a good functional outcome. However many fail to realize that treating a fracture does not only involve bones but the soft tissues, as well. K-wiring itself can be difficult with multiple attempts inadvertently injuring the flexor or extensor tendons and resulting in adhesions. We highlight this possible complication of K-wiring which we believe is under reported due to the perception that K-wiring is a simple procedure. We present a case of a 9-year-old child, who sustained a closed displaced fracture of the base of the proximal phalanx (Salter Harris type 2) of the left index finger. He underwent percutaneous K-wiring but was complicated with severe adhesions of the flexor digitorum profundus (FDP) and flexor digitorum superficialis tendons (FDS). He was unable to flex the proximal and distal interphalangeal joints of the affected finger. We subsequently performed tendon adhesiolysis twice together with A2 pulley reconstruction, to restore movement of the finger. K-wiring of the fingers are not just simple bony procedures but also involve soft tissue components which can be prone to adhesions. Pusat Perubatan Universiti Kebangsaan Malaysia 2019 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15226/1/18_ms0249_pdf_21416.pdf Nanchappan S, and Parminder GS, and Nur Azuatul AK, and Tan, JA and Ahmad Suparno B, and Jamari S, and Shalimar Abdullah, (2019) Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures. Medicine & Health, 14 (1). pp. 203-208. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/14/1 |
| spellingShingle | Nanchappan S, Parminder GS, Nur Azuatul AK, Tan, JA Ahmad Suparno B, Jamari S, Shalimar Abdullah, Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures |
| title | Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures |
| title_full | Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures |
| title_fullStr | Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures |
| title_full_unstemmed | Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures |
| title_short | Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures |
| title_sort | adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures |
| url | http://journalarticle.ukm.my/15226/ http://journalarticle.ukm.my/15226/ http://journalarticle.ukm.my/15226/1/18_ms0249_pdf_21416.pdf |