{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:10:23Z","timestamp":1782742223291,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>K\u2010wire arthrodesis methods are commonly used during arthrodesis of the finger distal interphalangeal (DIP) or thumb interphalangeal (IP) joints. Here we propose an advantageous approach involving dual parallel intramedullary K\u2010wires with the K\u2010wire tips cut to bury underneath the skin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2017 to December 2021, 35 patients (43 joints) underwent finger DIP or thumb IP joint arthrodesis using this method. Radiographic outcomes were evaluated, while functional outcomes were assessed using the visual analogue scale (VAS) for pain and the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score. Patients with at least 1\u2009year follow\u2010up were analyzed. The preoperative and postoperative functional results were analyzed using the paired <jats:italic>t<\/jats:italic>\u2010test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Arthrodesis union was achieved in 41\/43 joints (95.3%). We treated 10 thumb IP joints and 33 finger DIP joints, for which the underlying cause was osteoarthritis and trauma in 37 and six digits, respectively. The average time of K\u2010wire removal was 8.9 (range, 7\u201310) weeks after surgery. Twenty\u2010four patients (27 joints; 22 women, two men) had at least 1\u2009year follow\u2010up (mean 15.9; range, 12.5\u201340.8) months. For patients with bone healing, the VAS score improved from 6.6 (range, 5\u20138) to 0.6 (range, 0\u20131) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and the QuickDASH score improved from 57.9 (range, 31.8\u201377.3) to 14.7 (range, 6.8\u201320.5) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) at final follow\u2010up. Both of the two failure cases were in the thumb. There were no other complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This technique is simple and cost\u2010effective and achieves a good union rate. The advantages include the ability to choose variable K\u2010wire sizes according to the size of the medullary canal and the ease of postoperative care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13852","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T07:40:00Z","timestamp":1694158800000},"page":"2966-2973","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Dual Parallel Intramedullary K\u2010Wires for Arthrodesis of the Finger Distal or Thumb Interphalangeal Joints"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2065-8304","authenticated-orcid":false,"given":"Hui\u2010Kuang","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Ditmanson Medical Foundation Chiayi Christian Hospital  Chiayi Taiwan"},{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Department of Surgery, School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Department of Food Nutrition Chung Hwa University of Medical Technology  Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin\u2010Hsien","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, E\u2010Da Hospital, College of Medicine I\u2010Shou University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Chao","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Department of Surgery, School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng\u2010Yu","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Department of Surgery, School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu\u2010Ling","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Food Nutrition Chung Hwa University of Medical Technology  Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8427-9963","authenticated-orcid":false,"given":"Jung\u2010Pan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Department of Surgery, School of Medicine National Yang Ming Chiao Tung University  Taipei 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