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Eine K\u2011Draht-OS erfordert immer eine zus\u00e4tzliche Fixierung\/Ruhigstellung in einem Gipsverband.<\/jats:p><\/jats:sec><jats:sec><jats:title>Kontraindikationen<\/jats:title><jats:p>Alle diaphys\u00e4ren Frakturen, sofern ein K\u2011Draht nicht im Sinne der Markraumschienung verwendet wird. Nicht korrekt reponierte respektive nicht reponierbare Frakturen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Operationstechnik<\/jats:title><jats:p>Nach geschlossener oder offener, m\u00f6glichst anatomischer Reposition werden unter Durchleuchtungskontrolle 1, 2, gelegentlich 3\u00a0K-Dr\u00e4hte pro Fragment eingebracht. Wichtig ist dabei, dass die K\u2011Dr\u00e4hte das zu fixierende Fragment sowie das Hauptfragment (Metaphyse) optimal fassen. Es muss daher m\u00f6glich sein, mit dem Durchleuchtungsger\u00e4t eine streng seitliche sowie korrekte anteroposteriore Aufnahme machen zu k\u00f6nnen. Dabei ist darauf zu achten, dass man das Ger\u00e4t in die entsprechende Ebene schwenken kann. Ein Drehen der Extremit\u00e4t sollte auf ein Minimum beschr\u00e4nkt werden. Durch eine zus\u00e4tzliche Manipulation zwecks Durchleuchtung k\u00f6nnten die zuvor optimal reponierten Fragmente erneut dislozieren. Dies wiederum kann zu einer schlechten K\u2011Draht-Fixierung f\u00fchren. Je nach Morphologie der Fraktur, Gr\u00f6\u00dfe der Fragmente und Lokalisation der Fraktur (Humerus, Unterarm, Femur oder Tibia, Hand oder Fu\u00df) muss die K\u2011Draht-Technik angepasst werden. Diese kann sein: monolateral gekreuzt, monolateral divergierend auf- oder absteigend oder die h\u00e4ufigste angewendete aufsteigend gekreuzte Technik. Die K\u2011Dr\u00e4hte werden in der Regel \u00fcber Hautniveau belassen und umgebogen. Somit k\u00f6nnen sie ohne erneute Narkose in der Ambulanz entfernt werden. Man muss sich bewusst sein, dass der K\u2011Draht weder eine Kompressions- noch eine Neutralisations-OS ist, sondern immer nur eine Adaptation. 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