Innovative modifications in the K-wires: A boon for resource-constrained orthopedic hospitals

Objectives: Kirschner wires (K-wires) in orthopedic surgery have stood the test of time. They have several advantages and very few disadvantages. Being the most used and easily available implant, K-wires are very important in this specialty. Certain hand and wrist surgeries require specialized implants, which can be costly and not readily available in smaller hospitals and lesser developed nations. The authors want to discuss improvisation in the K-wire design in the form of (1) the introduction of crimping in the K-wire to cut them in flush with the cortex to avoid the infection associated with the unburied K-wire left outside the skin. (2) Incorporation of a hole in the above-mentioned crimped wire to make a modified suture anchor. (3) The threads at the tip and the shaft of the wire will make it useful in maintaining the released thumb web. Methods: Our study included 11 cases of crimped K-wires, eight cases with a hole (like a suture anchor), and five cases of threaded K-wires. Patients were followed up with radiographs, and a functional assessment was performed using mini disabilities of the arm, shoulder, and hand scoring. Results: All patients had good radiological and functional outcomes with no implant-related complications reported. Conclusion: K-wire modifications can be a game changer in small centers in developing countries. Our described modifications can be easily replicated, improving patient care by significantly reducing the cost of the treatment without compromising the final outcome.