WIRE
Update
01-10-2019
The WIRE Service Evaluation has now closed to new units and finished recruiting patients. A big thank you to all of those who have contributed. The follow phase will continue until the end of 2019.
Background
Kirschner wires are commonly used for hand fracture fixation. There is clinical uncertainty as to whether the wires should be buried beneath the skin or left exposed.
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.
Question
The WIRE Trial aims to answer the question:
Should Kirschner wires be buried or left exposed after hand fracture fixation in adults?
Project outline
- Systematic review (completed and published in JPRAS)
- National clinical practice and patient surveys (published in PRS GO)
- National service evaluation of patients undergoing K wire fixation of hand fractures (ongoing)
- Application to NIHR RfPB (estimated November 2019)
- WIRE RCT (dependent on funding, 2020)
How can I get involved?
The WIRE Service Evaluation is now closed to new collaborators. Please get in touch at wiretrial@gmail.com if you have any queries.
Responsibilities of a collaborator to be PubMed cited
- Gain support from your department (e.g. consultant body and hand therapists)
- Register WIRE-SE (service evaluation) with your NHS Trust
- Collect data on 10 consecutive patients and follow up data at 3 months
- Upload anonymised information to REDCap database (5% or lower missing data rate)
Contributing data with a high missing data rate will result in an acknowledgement and certificate rather than PubMed citation.
Benefits
- Certificate of involvement will be provided on completion of the project.
- Pubmed citation on any subsequent publication directly related to these data.
- Cited as a collaborator on any presentation relating to these data and RSTN website.
- Option to present local data separately (i.e. local or regional meeting).
