Published online Jan 31, 2010.
https://doi.org/10.12671/jkfs.2010.23.1.104
The 'β-wire Technique' for the Fixation of Ulnar Styloid Process Fracture - Surgical Technique -
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.
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.
Fig. 2
(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.
(A) Holding the 'sigmoid' part of the 'β-wire', insert the 'straight' part in the distal fragment.
Fig. 3
(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.
(A) Tracking the hooked part proximally, be sure to watch the extent of it.
Fig. 4
(C~E) Post operative films show anatomical reduction using the 'β-wire'.
(A, B) Intraoperative films show the ulnar styloid process fracture.
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.
References
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Bowers WH. DPG. In: Operative hand surgery. 1st ed. New York: Churchill Lingvingstone; 1993. The distal radioulnar joint; pp. 973-1019.
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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.
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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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