Abstract
PURPOSE: This study aims to evaluate the frequency and management of complications in patients who underwent percutaneous K-wire fixation for hand and wrist fractures caused by trauma. METHODS: A total of 143 patients (112 men, 31 women) with 333 K-wires were retrospectively analyzed. Demographic data, surgical techniques, postoperative care, and complications were reviewed. Minor complications included pin loosening, migration, and superficial infections, while major complications included nonunion, malunion, and osteomyelitis. RESULTS: Complications were observed in 23 patients (16%), including six major and 17 minor cases. The most common complications were pin loosening (five patients), infection (six patients), and pin migration (seven patients). Infections were primarily caused by Staphylococcus aureus, identified in three cases. Nonunion and malunion required secondary interventions, whereas one osteomyelitis case necessitated surgical debridement and prolonged antibiotics. CONCLUSIONS: Complications occurred in 16% of cases, with pin migration, loosening, and infection being the most frequent issues. Although most complications were minor and manageable, major complications such as nonunion and osteomyelitis necessitated additional surgical interventions. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.