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Fixation of small bones in the adult and the child’s hands remains a challenge. The authors present a technique of bone fixation using customized staples made intraoperatively from K-wires (0.9–1.6 mm in diameter). Their specific purpose was to provide axial alignment and rotational stability for carpal bone fixation and for epiphysiodesis in phalanges. This technique was used in 14 cases (11 adult and three paediatric). No bone shattering, implant breakage, implant loosening or infection occurred. As K-wires are quite malleable, custom sized and shaped staples which follow the bone contours could be made to give a more exact fixation. All cases had satisfactory outcomes, achieving the preoperative objectives of bony fixation. This method is safe, precise and technically easy. It is also relatively cheap and only requires simple, standard instruments.

Glomus tumour is a benign lesion arising from the glomus apparatus of the skin and subcutaneous tissue. Glomangioma is the angiomatous variant, which is uncommon. We report a very rare presentation of a glomangioma with multiple recurrences. We advocate preoperative angiography to delineate the extent of the lesion to facilitate complete excision.

Glomus tumour is a benign lesion arising from the glomus apparatus of the skin and subcutaneous tissue. Glomangioma is the angiomatous variant, which is uncommon. We report a very rare presentation of a glomangioma with multiple recurrences. We advocate preoperative angiography to delineate the extent of the lesion to facilitate complete excision.Copyright 1999 The British Society for Surgery of the Hand

We report a case in which a groin flap was used to cover the degloved fingers. Subsequently, Ilizarov’s technique was used to expand the groin flap before the syndactylized digits were separated.

We report a case in which a groin flap was used to cover the degloved fingers. Subsequently, Ilizarov’s technique was used to expand the groin flap before the syndactylized digits were separated.Copyright 1999 The British Society for Surgery of the Hand