Proximal inter-phalangeal joint (PIPJ) arthrodesis is a commonly performed procedure as a part of hammer and claw-toe correction. Conventional K-wire stabilisation has the potential disadvantages of infection; violation of DIP joint; external protrusion or the wire and necessity of removal.

Newer intra-medullary stabilisation devices are also available, though tend to incur addition costs. We present our technique and results of using a single, buried 1.6 mm K-wire for proximal inter-phalangeal joint fusion

Our objectives were to assess union rates and patient satisfaction following intra-medullary K wires for PIP joint fusion. This involved reviewing 26 consecutive patients (34 toes) who had undergone hammer or claw toe correction. Case notes and radiographs were reviewed to establish results and complications and the need for revision surgery. Initial Radiographs taken at 6 weeks and a telephone survey was undertaken to assess patient satisfaction (16–44 weeks).

Our findings were that of the twenty-one women and five men underwent surgery, with a mean age of 59 years (24–77), stable union was achieved in 33 of 36 toes. No patients had superficial or deep infection and no patient required wire removal or a revision procedure.

In conclusion, PIPJ Arthrodesis with buried K Wires has excellent clinical outcome and high patient satisfaction.

Mid-shaft humeral fractures in adults are common these days and often present with a management dilemma between operative and non-operative treatment. This study evaluates the outcome of such fractures treated non-operatively over a span of 10 years.

In this retrospective study, a review of case notes and radiographs of patients whose mid-shaft humerus fractures were treated non-operatively between 1994 and 2004 was done. Those younger than 16 years and/or who had surgery primarily were excluded. Various factors including patient demographics, mechanism of injury, AO fracture classification and time to union were studied. Mean patient follow-up was 4 years and 6 months. The Oxford shoulder score was used for functional assessment.

There was a total of 43 patients, mostly men with involvement of the dominant arm. 5 patients required open reduction and internal fixation with bone grafting for non-union. The average Oxford shoulder score was 18. The majority of patients could resume their jobs and the average time to union was 9 weeks.

We conclude from this study that there is a high union rate in the mid-shaft humeral fractures in adults treated non-operatively, with an acceptable functional outcome.