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.
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Edwards et al. (1982) studied this question.
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