Stump Closure using Kirschner Wire – A Novel Technique

Volume 6 | Issue 1 | Jan-April 2018 | Page  | Blessin S. Cherian, A.M. Georgekutty, Manesh Stephen

Authors: Blessin S. Cherian, A.M. Georgekutty, Manesh Stephen [?].

[1]Department of Orthopaedics, Ganga Hospital,
Mettupalayam Road, Coimbatore,Tamil Nadu

Address of Correspondence
Dr Blessin S. Cherian
Department of Orthopaedics, Ganga Hospital
313, Mettupalayam Road, Coimbatore – 641043
Tamil Nadu
E mail : blessincherian@yahoo.com

Abstract

We report the case of a 14 year old patient who underwent below knee amputation following rail accident. She was referred to our centre for wound care but there was gaping of stump which was not amenable to simple suturing. We used two K wires and stainless steel wires to apply traction to the wound. After serial tightening, once the edges were approximated it was sutured. Sutures were retained for three weeks and following suture removal the patient had a cosmetic and sensate stump. To the best of our knowledge the principle of skin traction using K wires has not been reported for stump closure.
Keywords: Tissue traction, Stump closure, Wound gaping

References

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