Migration of a Broken Kirschner Wire after Surgical Treatment of Acromioclavicular Joint Dislocation

Batın, Sabri; Ozan, Fırat; Gürbüz, Kaan; Uzun, Erdal; Kayalı, Cemil; Altay, Taşkın

doi:10.1155/2016/6804670

Cited by 15 publications

(19 citation statements)

References 9 publications

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“…The migration of foreign bodies within the human body is a rare phenomenon. It has been reported that materials such as Kirshner or cerclage wire, which are frequently used in orthopedic surgeries, migrate to different regions from the areas where they are applied, such as the clavicle, patella or olecranon [1][2][3][4][5][6][7]. In some rare cases, bullets have been observed to migrate to different regions of the body following a gunshot injury [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Unexplained pellets in heart after shotgun wound through the hip: A case report

Utkan¹,

Koçer²,

Gencer³

et al. 2020

Journal of Surgery and Medicine

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Section: Introductionmentioning

confidence: 99%

Unexplained pellets in heart after shotgun wound through the hip: A case report

Utkan¹,

Koçer²,

Gencer³

et al. 2020

Journal of Surgery and Medicine

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“…A variety of surgical techniques have been reported to reestablish the anatomical acromioclavicular (AC) joint alignment. However, there is still no gold standard surgical approach [1][2][3][4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…Early surgical procedures applying Kirchner wires or Steinman pins are no longer used due to the case reports of pin migration and the limitation of relative motion between the scapula and clavicle [2][3][4][5][6] . The hook plate through the acromion requires a secondary operation for implant removal and increases the risk of AC ligament injury 7,8 .…”

Section: Introductionmentioning

confidence: 99%

Novel Double Endobutton Technique Combined with Three‐Dimensional Printing: A Biomechanical Study of Reconstruction in Acromioclavicular Joint Dislocation

Zhang

Jin³

et al. 2020

Orthopaedic Surgery

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Objective: To reconstruct the acromioclavicular (AC) joint using an adjusted closed-loop double Endobutton technique via a guiding locator that was applied using three-dimensional (3D) printing technology. At the same time, the reliability and safety of the novel double Endobutton (NDE) were tested by comparing the biomechanics of this technique with the TightRope (TR) approach. Methods: This retrospective study was conducted between January 2017 and January 2019. The Department of Anatomy at Southern Medical University obtained 18 fresh-frozen specimens (8 left and 10 right; 12 men and 6 women). First, the guiding locators were applied using 3D printing technology. After preparation of materials, specimens were divided into an NDE group, a TR group, and a normal group. In the NDE and TR groups, the navigation module was used to locate and establish the bone tunnels; after that, the NDE or TR was implanted. However, the Endobuttons were fixed while pressing the distal clavicle downwards and the length of the loop could be adjusted by changing the upper Endobutton in the NDE group while the suture button construct was tensioned and knotted after pressing down the distal clavicle in the TR. Finally, load testing in anterior-posterior (AP), superior-inferior (SI), and medial-lateral (ML) directions as well as load-to-failure testing in the SI direction were undertaken to verify whether the NDE or TR had better biomechanics. Results: In the load testing, the displacements of the NDE and TR groups in the AP, SI, and ML direction were significantly shorter than those of the normal group (P < 0.05). In the load-to-failure testing, the ultimate load of the NDE and TR groups had significantly higher increases than the normal group (722.16 ± 92.04 vs 564.63 ± 63.05, P < 0.05; 680.20 ± 110.29 vs 564.63 ± 63.05, P < 0.05). However, there was no statistically significant difference between the two techniques for these two tests (P > 0.05). In the NDE group, four of six failures were a result of tunnel fractures of the coracoid, while two of six were due to suture breakage. In the TR, three failures were due to coracoid tunnel fractures, one was a result of a clavicle tunnel fracture, and the rest were due to suture breakage. In the

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“…Complications included vascular and nerve damage, tendon rupture, osteomyelitis, loss of fracture or dislocation reduction, superficial infection, and postoperative wire migration. 1 2 3…”

Section: Introductionmentioning

confidence: 99%

“…The mechanism leading to migration is still unknown, although muscle activity is postulated as a possible cause. 2 3 4 5…”

Section: Introductionmentioning

confidence: 99%

Migração do fio de Kirschner após o tratamento da luxação acromioclavicular para o ombro contralateral – relato de caso

et al. 2019

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ResumoO uso dos fios metálicos, denominados fios de Kirschner, é um método de fixação simples e eficaz para a correção de fraturas e luxações do ombro na cirurgia ortopédica. Uma das possíveis complicações é a migração do fio durante o acompanhamento pós-operatório. Os autores apresentam um caso de um paciente masculino de 48 anos, administrador, que sofreu uma queda de mesmo nível com trauma em ombro direito durante uma partida de futebol. Atendido em um hospital de referência de ortopedia e traumatologia, foi diagnosticada luxação acromioclavicular grau V. Quatro dias após o trauma, fez-se o tratamento cirúrgico da luxação acromioclavicular com amarrilhos com fios de âncora, transferência do ligamento coracoacromial e fixação com fio de Kirchner do acrômio à clavícula. No retorno, 12 dias após o procedimento cirúrgico, identificou-se a migração do fio de Kirschner do bordo do acrômio. Apesar de orientado a se submeter a cirurgia para remoção do fio, o paciente se recusou. Nove meses após o tratamento cirúrgico, o paciente apresentou dores no ombro esquerdo (lado contralateral), dificuldade para mobilizar o ombro, equimose e saliência. Foram feitas radiografias bilaterais e foi constatado que o fio de Kirschner, originalmente no ombro direito, estava no ombro contralateral. Fez-se então cirurgia para remoção do implante, com sucesso.

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Migration of a Broken Kirschner Wire after Surgical Treatment of Acromioclavicular Joint Dislocation

Cited by 15 publications

References 9 publications

Unexplained pellets in heart after shotgun wound through the hip: A case report

Unexplained pellets in heart after shotgun wound through the hip: A case report

Novel Double Endobutton Technique Combined with Three‐Dimensional Printing: A Biomechanical Study of Reconstruction in Acromioclavicular Joint Dislocation

Migração do fio de Kirschner após o tratamento da luxação acromioclavicular para o ombro contralateral – relato de caso

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