How to prevent the avulsed soft tissues from wrapping around the K-wire

Dear Sir,

Bony fixation methods for amputated digits must plastic aspiration tube that is 5 cm in length and be simple, easy to use, create minimal additional slightly wider than the wire (Figure 1). The soft tube bone and soft tissue damage and must be applicable not only keeps the soft tissues away from the K-wire with speed and consistency (Gordon and Monsanto, which is rotating at high speed but also does not 1987; Whitney et al., 1990). Various methods such as restrict its movements. This simple solution can be fixation with single or multiple K-wires, intraosseous applied whenever there is a risk of wrapping soft tiswires, plates and screws and external fixation have sues around the K-wire and difficulty in retracting the been reported for this purpose (Yamano et al., 1982). soft tissues. All these methods provide adequate fixation when used properly.