We propose a simple, effective and inexpensive method of protecting unburied Kirschner-wire ends for hand surgery. This technique involves bending the protruding wire 180° to form a loop, removing the rubber gasket from a 1-ml syringe and sliding this gasket over the wire loop in order to provide the required bulk and padding (Fig. 1). The gasket is then secured onto the loop with a 3/0 nylon suture. A less bulky dressing can then also be used on top of the protector. This technique prevents accidental injuries from sharp wire ends, and limits wire migration.
Figure 1.
The proposed technique of securing protruding K-wire ends