How to prevent the avulsed soft tissues from wrapping around the K-wire

We protect soft tissues from Kirschner (K) wires by passing the wire through a drill guide, which can also help steer the K-wire. Other methods of isolating the K-wire from the soft tissues may decrease control of the thin, flexible wire. The guide is not transparent, but this is not a problem. Drill guides down to 1.0 mm are available, although any guide with an internal diameter greater than that of the wire can be used.