Original ArticleKirschner-Wire Fixation for Postburn Flexion Contracture Deformity and Consequences on Articular SurfaceSungur, Nezih MD*; Ulusoy, Mustafa Gürhan MD*; Boyacgil, Süreyya MD‡ı; Ortaparmak, Hülya MD§; Akyüz, Mihriban†; Ortak, Turgut MD†; Koçer, Uğur MD*; Şensöz, Ömer MD†Author Information From the *Plastic and Reconstructive Surgery Department, Ankara Training and Research Hospital, Ankara, Turkey; and the †Plastic and Reconstructive Surgery Department, ‡Radiology Department, and §Nuclear Medicine Department, Numune Training and Research Hospital, Ankara, Turkey. Received May 2, 2005, and accepted for publication September 3, 2005. Reprints: Nezih Sungur, MD, Gülseren Sokak, 15/7, Maltepe, Ankara Türk iiye. E-mail: [email protected]. Annals of Plastic Surgery: February 2006 - Volume 56 - Issue 2 - p 128-132 doi: 10.1097/01.sap.0000192029.78667.c6 Buy Metrics AbstractIn Brief Kirschner-wire (K-wire) fixation for 3–6 weeks is an approved method for stabilization of the fingers after the release of flexion contracture deformity. On the other hand, articular surface damage in small joints due to pin fixation is still a topic of debate. Reports claiming permanent joint destruction due to this procedure exist in the literature. To clarify this doubt, a prospective study was carried out in 72 patients with flexion contracture of the hand fingers. After the surgical release of the deformity, immobilization of the interphalangeal (IP) and metacarpophalangeal (MCP) joints was carried out with K-wire fixation for 3 weeks. Clinical evaluation of the patients was accomplished with total active motion (TAM), grip, and pinch force measurements, whereas magnetic resonance (MR) and radionuclide imaging were used as radiodiagnostic tools. Mean follow-up period of the patients was 32 months. Satisfactory results were obtained in terms of functional and esthetic aspects. Evaluation of the data derived from the clinical and radiologic measurements revealed no permanent articular surface damage. K-wire fixation was documented to be an invaluable therapeutic approach not only to prevent recurrence of the contracture deformity but also to stabilize the skin graft effectively. This technique was concluded to provide effective immobilization without permanent articular damage. A prospective study of 72 patients undergoing surgical release of 198 postburn finger flexion contractures demonstrated that postoperative K-wire fixation of MCP and IP joints for 3 weeks caused no permanent articular surface damage. © 2006 Lippincott Williams & Wilkins, Inc.