Illustrated Guide to Removal of Exposed Kirschner Wires

Sep 06, 2022 Source: Cainiu Health
Dr. Sun Shaolong
Introduction
An exposed Kirschner wire is a stainless steel pin used for internal fixation in orthopedic surgery, which typically requires a hospital visit and removal by a qualified physician. The specific procedure involves first conducting an examination to determine whether conditions are suitable for removal, then using a Kirschner forceps to grasp the end of the wire and pull it out. After removal, the site should be disinfected and dressed.

An exposed Kirschner wire (K-wire) is a stainless steel pin used for internal fixation in orthopedic surgeries, which typically requires hospital visit and removal by a qualified physician. The procedure is as follows:

1. Prior to removal, the patient must undergo an X-ray examination. The doctor evaluates the imaging to check for fracture healing and any abnormalities, determining whether the K-wire can be safely removed.

2. The doctor grasps the end of the wire with forceps and steadily applies gentle traction to remove the K-wire.

3. After complete removal of the K-wire, the doctor disinfects the puncture site with iodophor and applies gauze with temporary pressure to stop bleeding.

4. If the K-wire cannot be removed with forceps, the doctor may secure the wire and use a specialized drill for extraction. After removal, the wound is disinfected and dressed.