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Kim, Kim, Lee, Yang, Yoo, and Chun: The 'β-wire Technique' for the Fixation of Ulnar Styloid Process Fracture - Surgical Technique -
Surgical Technique
Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2010; 23(1): 104-108.

Published online: 31 January 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.1.104

The 'β-wire Technique' for the Fixation of Ulnar Styloid Process Fracture - Surgical Technique -

Jee Hyoung Kim, M.D., Jin Hak Kim, M.D., Song Lee, M.D., Seung Jin Yang, M.D., Chang Wook Yoo, M.D., Tae Hwan Chun, M.D.

Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea.

Address reprint requests to: Jin Hak Kim, M.D. Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital, 40-12, Chungryangri-dong, Dongdaemoon-gu, Seoul 130-011, Korea. Tel: 82-2-966-1616, Fax: 82-2-968-2394, benikim@paran.com

Received 29 May 2009       Revised 9 August 2009       Accepted 30 October 2009

Copyright © 2010 The Korean Fracture Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

For the fixation of ulnar styloid process fracture, we want to introduce the 'β-wire technique', which is easy to learn and practice and thought to give a compressive force to the fracture site.

Keywords: Ulnar styloid process fracture, β-wire technique

Figures and Tables

Fig. 1
(A) The 'β-wire' in AP view, (B) lateral view and (C) oblique view. Be sure that the straight part and the hooked part nearly contact each other.
jkfs-23-104-g001
Fig. 2
(A) Holding the 'sigmoid' part of the 'β-wire', insert the 'straight' part in the distal fragment.
(B) After that using the 'joy stick method', reduce the distal part to the proximal part and insert the wire deeply.
(C) One or two taps using a small mallet would be applicable or not.
jkfs-23-104-g002
Fig. 3
(A) Tracking the hooked part proximally, be sure to watch the extent of it.
(B) Using a drill, make a hole.
(C) Tracking the hooked part proximally, insert it into the hole.
(D) To secure the insertion, one or two taps using a small mallet would be applicable.
jkfs-23-104-g003
Fig. 4
(A, B) Intraoperative films show the ulnar styloid process fracture.
(C~E) Post operative films show anatomical reduction using the 'β-wire'.
jkfs-23-104-g004
Fig. 5
(A, B) Other postoperative films show loss of elasticity of wires because the wire was too thin and the distance between the straight part and the hooked part was wide at first. Using a drill makes it difficult to feel a penetrating sense; we could find the wire was not inside of the bone during operation.
jkfs-23-104-g005

References

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3. Kim BG, Chung YG, Lee JY, Song SW, Rhee SK. Treatment of ulnar styloid fractures using miniscrew and tension-band suture augmentation. J Korean Soc Surg Hand. 2007. 12:206–211.
4. Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg. 1986. 68:647–659.
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5. May MM, Lawton JN, Blazar PE. Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability. J Hand Surg Am. 2002. 27:965–971.
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6. Zenke Y, Sakai A, Oshige T, Moritani S, Nakamura T. The effect of an associated ulnar styloid frature on the outcome after fixation of a fracture of the distal radius. J Bone Joint Surg Br. 2009. 91:102–107.
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