Intra-abdominal migration of a k-wire during revision total hip arthroplasty

Hug, Kevin T.; Fernando, Navin

doi:10.1016/j.artd.2016.09.002

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…To prevent this complication, it is recommended that the wires to be left visible outside the skin when possible, and their ends bent when direct visualization is not possible, and be removed when no longer needed. A single case report of intraoperative K-wire migration due to direct mechanical force with a real risk of compromise to multiple vascular and soft tissue structures requiring acute laparotomy has been documented following revision total hip arthroplasty [13].…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery

Peterson

Ngai

Burbridge

2019

Case Reports in Anesthesiology

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We present the case of a 58-year-old woman who underwent a minimally invasive robotic-assisted L4-S1 instrumentation and fusion which was complicated by a Kirschner wire (K-wire) fracture and migration into the abdominal cavity necessitating emergent exploratory laparotomy. Retrieval of the K-wire proceeded without incident, and the patient had an otherwise uneventful surgery and recovery. This is the first such case description reported in the literature. As minimally invasive robotic-assisted spine procedures become more common, it is essential for the anesthesiologist to be familiar with potential complications to manage such patients in the perioperative period optimally.

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Section: Discussionmentioning

confidence: 99%

Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery

Peterson

Ngai

Burbridge

2019

Case Reports in Anesthesiology

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“…После определения локализации сместившейся конструкции встает вопрос о способе ее удаления. В большинстве наблюдений в равной степени применялись как открытые [2, 5, 9], так и эндоскопические вмешательства [26]. Так, М. Cohen с соавторами при удалении спицы из мочевого пузыря использовали лапаротомический доступ [5].…”

Section: клинический случайunclassified

“…Так, М. Cohen с соавторами при удалении спицы из мочевого пузыря использовали лапаротомический доступ [5]. В сообщениях ряда авторов обсуждаются преимущества эндоскопических методов [14,26,27].…”

Section: клинический случайunclassified

“…Прежде всего необходимо ограничить применение спиц Киршнера как окончательного метода фиксации и отдавать предпочтение современным имплантатам, при которых вероятность миграции минимальна. В случаях, когда применение спиц является необходимым условием выполнения операции, необходимо использовать спицы с резьбой [26], либо загибать их конец, что значительно снизит возможность смещения [1]. Д.Б.…”

Section: клинический случайunclassified

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Migration of a Kirschner Wire Into the Urinary Bladder: A Case Report

Farion¹,

Paskov²,

Dushin³

et al. 2023

Traumatology and Orthopedics of Russia

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Information actuality: The migration of Kirschner wires is the well-known complication described in sources of literature. Notwithstanding the fact that preventative measures against the migration of Kirschner wires are taken by orthopedic traumatologists in most cases, it does not the avoidance of the occurrence of this complication. Description of a clinical case: We presented the case of treatment of a female 70-year old patient with the asymptomatic migration of a Kirschner wire into the urinary bladder. It happened 5 years after the primary surgical intervention because of the left femoral neck fracture. The removal of a Kirschner wire from the urinary bladder with the further performance of the total endoprosthetic hip replacement was performed in the female patient. The surgical intervention proceeded without any complications. The female patient began to be involved in rehabilitation measures immediately after a surgery. Conclusion: The presented clinical case teaches us to be careful upon the performance of the osteosynthesis with the use of Kirschner wires and give much attention to measures aimed to the prevention of their fractures and their migration. Key words: migration of a wire, migration of a wire into the urinary bladder, migration of a Kirschner wire, urinary bladder injury, endoprosthetic replacement.

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