Skeletal stabilization for digital replantation surgery. Use of intraosseous wiring.

Bony fixation is the first priority in any digital replantation procedure. Because of time considerations, however, fracture stabilization is frequently less than optimal and impairs mobilization and rehabilitation significantly. Ordinary methods of digital fracture stabilization have proven inadequate when they are applied to replantation surgery. The technique of intraosseous wiring provides an additional option in the management of bone fixation in certain circumstances, and it may be used alone or in conjunction with a variety of other methods. Familiarity with the advantages and disadvantages of different fixation techniques allows for optimal intraoperative planning and helps maximize the chances for an optimally functional result.