Novel Technique for Small Bone Fixation Using Kirschner Wire Reduction and Cortical Screws.

Vascular injury is a common complication in the reduction of small bone fractures of the hand. Proper technique and management during fracture fixation can help mitigate this risk. We report a case that discusses the use of a Kirschner wire (K-wire) technique for both initial fracture reduction and subsequent screw fixation in small bones, utilizing a bone tunnel created by the K-wire. This approach offers a preventative strategy to reduce the risk of vascular compromise, minimize bone tissue loss, and improve the accuracy of screw placement.