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axis wire vs access wire - mutant

Posted: Apr 19, 2013

In podiatry op note, doc dictates axis wire (I am sure that it is axis wire), but my QA always changes it to access wire. I tried to convince him that it is axis and not access, but he is not convinced. Can anyone help me in providing any realiable documentation to prove it.

we would need the actual sentence - sm

[ In Reply To ..]
do you have a reason to think it's axis wire? Access and axis sound virtually identical. Why are you trying to convince QA it's axis?

axis vs access - mutant

[ In Reply To ..]
I know it is axis because there is reference available on net and there is not a single reference for access wire. I am trying to convince QA because it is affecting the accuracy of the document.

axis wire vs access wire - mutant

[ In Reply To ..]
Procedure is osteotomy, first metatarsal base, left foot. Used K-wire for the procedure, but in one sentence dictated "axis/access wire was removed."

Mutant you are correct - see message

[ In Reply To ..]
I also googled both words in reference to an osteotomy and everything seems to be pointing to "axis wire" an example sentence as below:

"Once the osteotomy is completed, an axis guide is established at the proximal portion of the osteotomy using a small Kirschner wire"

In this instance, the Kirschner wire is the **axis guide/wire** So I believe you are correct in that it is not access.

Hey, are you transcribing my missing OP - 2bz2sleep

[ In Reply To ..]
LOL. My missing podiatrist dictates this, axis wire....

LOL - mutant

[ In Reply To ..]
LOL

some websites I found when searching "axis wire" and "podiatry" in Google - sm

[ In Reply To ..]

[PDF]

The Mau Osteotomy - The Podiatry Institute

www.podiatryinstitute.com/pdfs/Update_1992/1992_43.pdf - Cached

Nledial r,-iew of Kirschner q,'ire axis. Fixation of the osteotomy is most frequently
accomplished using two 2.0-mm cofiicai screws. The axis wire is then removed, ...

HV chapter 16-Middiaphyseal Osteotomies

www.ocpm.edu/.../HV%20chapter%2016-Middiaphyseal%20Osteotomies.pdf - Cached - Similar

The axis wire is then removed, and the medial cortical overlap is reduced with .....
J Am Podiatry Assoc 66:384, 1976. Schenk R, Willenegger H: Morphological ...

Brachymetatarsia - Foot and Ankle Online Journal

faoj.org/.../brachymetatarsia-one-stage-correction-using-a-cadaver-bone-allograft/ - Cached - Similar

May 1, 2009 ... Podiatry Today (18) 1 Sept, 2005 [online] Accessed April 15, 2009 20. ..... using a
laminator spreader to place the graft using a single axis wire.

It appears that "access wires" are used to "access" veins or tubes, like a guidewire, and an "axis wire" is used to assist with fixation or stabilization.

Thanks a lot - mutant

[ In Reply To ..]
Thanks

K-wire serving as the axis of rotation - hence axis wire

[ In Reply To ..]
Master Techniques in Podiatric Surgery: The Foot and Ankle, edited by Thomas J. Chang. Page 162.

"This K-wire will serve as the axis of rotation of the distal fragment on the proximal fragment after the osteotomy."

Thanks a lot. - mutant

[ In Reply To ..]
Thanks a lot for your input.

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