UPDATE 20/12/2016

The WIRE study was awarded the £20K BAPRAS Clinical Trials grant for 2016.
This will go towards further feasibility work for a RCT.
The manuscript for the clinician survey is drafted and will be submitted in the new year. Collaborators will be emailed with the citation and how to reference the WIRE presentations in their CV.

Kirschner wire fixation is commonly used for hand fracture fixation. There is clinical uncertainty as to whether the wires should be buried beneath the skin or not.

Proposed advantages of buried wires include a reduced risk of infection and early wire removal. However, their removal can be associated with the inconvenience and financial implications of further surgery.

The WIRE Trial aims to answer the question:

Should Kirschner wires be buried or not buried after hand fracture fixation in adults?

The project steps are outlined below.

  1. National clinical practice survey
  2. National patient survey
  3. National prospective audit
  4. Randomised clinical trial (RCT)

The first step will be our national clinical practice survey. This will be sent to all consultant hand surgeons and registrars who manage hand fractures as well as hand therapists. We want to find out if hand surgeons in the UK prefer to bury or not bury their K wires and what are their reasons for doing so.

How can I get involved?
We are recruiting ONE collaborator from each hand unit on a first come, first served basis. This is to facilitate completion of the clinician and patient surveys. Please contact wiretrial@gmail.com to register interest and for further information. See below for a list of units. If your unit does not feature, please get in touch and we will add it.

What will I do as a collaborator?

Responsibilities of a collaborator

  • Create a list of consultants and registrars who manage hand trauma at your unit
  • Create a list of hand therapists that manage hand trauma
  • Ensure that at least 95% complete the clinician/therapist survey
  • Submit 10 completed patient surveys
  • Complete this before the 1st May 2016


  • Once your unit surveys are complete, you will receive a certificate confirming your contribution to the project.
  • You will be a ‘non-author collaborator’ on any subsequent publication directly related to these data. This will give you a Pubmed citation.
  • You will be a collaborator on any presentation relating to these data.

You will own your local data and will be able to present these separately if you wish i.e. local audit or regional meeting.

List of units

  • Systematic review submitted
    • Clinician survey
    • Protocol development
    • NRES approval
    • Data collection
    • Data analysis
    • Manuscript submission
    • Publication
    Sonya Gardiner
    Specialty Registrar in Plastic Surgery, London

    Hawys Lloyd Hughes
    Clinical Research Fellow, Oxford
    Specialty Registrar in Plastic Surgery, London
    PLASTA President

    Justin Wormald
    Core Surgical Trainee, London

    Matthew D. Gardiner
    Trainee Lead, RSTN

    Fadi Issa
    Clinical Lecturer in Plastic Surgery

    Theodore Pezas
    Core Trainee in Plastic Surgery

    Alex Ramsden
    Consultant Plastic Surgeon

    Abhilash Jain
    Associate Professor in Plastic Surgery

    Collaborators will be listed here in due course.
    No trials unit.
    No funding.
    No downloads available.