Migration of K-wire into the cavum pleura after the reduction of acromioclavicular dislocation, a case report and review of literature

Sananta, Panji; Dradjat, Respati Suryanto; Julana, Rizky; Pandiangan, Ray Asaf Hexa; Sukmajaya, William Putera; Abduh, Muhammad

doi:10.1016/j.ijscr.2020.08.004

Cited by 4 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…K-wire migration is commonly reported in the shoulder region. [ 6 , 7 ] In the TBW fixation of the olecranon, proximal migration of K-wire has been reported as the most common complication and the most common cause of secondary surgery. [ 7 ] To the best of our knowledge, distal migration of the K-wire from olecranon has not been presented previously.…”

Section: Discussionmentioning

confidence: 99%

“…K-wire migration has been reported most commonly after the fixation of clavicle fracture, sternum, acromioclavicular, and sternoclavicular separation. [ 6 , 9 , 10 ] However, K-wire migration has been rarely reported in the hip, patella, distal radius, and medial malleolus. [ 9 ] The direction of migration is from distal to proximal in most cases.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

Köroğlu,

Karakaplan,

Ergen

et al. 2024

Jt Dis Relat Surg

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

Köroğlu,

Karakaplan,

Ergen

et al. 2024

Jt Dis Relat Surg

View full text Add to dashboard Cite

“…Благодаря своим техническим характеристикам (небольшой диаметр и гладкая поверхность) спицы просты в применении, однако часто возникают их усталостные переломы и миграция. В литературе описаны случаи миграции спиц Киршнера после остеосинтеза ключицы [1, 2], плечевой кости [3], грудины [4], бедренной кости [5,6], восстановления акромиально-ключичного сочленения [7,8,9,10,11]. Локализация сместившегося фиксатора при этом варьирует от субарахноидального пространства до брюшной полости: описаны миграции в сердце, легкие, средостение, аорту, позвоночный канал и мочевой пузырь [12,13,14,15,16,17].…”

Section: Introductionunclassified

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

Farion¹,

Paskov²,

Dushin³

et al. 2023

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

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.

show abstract

“…For example, heat generation and the subsequent temperature rise caused by the friction between the rotating wire and bone can result in thermal osteonecrosis, which, in turn, gives rise to pin loosening and eventual loss of fixation [ 7 , 8 , 9 , 11 ]. Additionally, it can lead to K-wire migration, during which the fixation is lost and the pin deviates from its intended anatomic location [ 12 , 13 ]. Bending the distal end of the K-wire prevents this migration in most cases, but even bent wires can migrate after breakage, so periodic radiographs should be made until the wire is removed [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Highly Adhesive Antimicrobial Coatings for External Fixation Devices

Bredikhin

Sawant

Gross

et al. 2023

Gels

View full text Add to dashboard Cite

Pin site infections arise from the use of percutaneous pinning techniques (as seen in skeletal traction, percutaneous fracture pinning, and external fixation for fracture stabilization or complex deformity reconstruction). These sites are niduses for infection because the skin barrier is disrupted, allowing for bacteria to enter a previously privileged area. After external fixation, the rate of pin site infections can reach up to 100%. Following pin site infection, the pin may loosen, causing increased pain (increasing narcotic usage) and decreasing the fixation of the fracture or deformity correction construct. More serious complications include osteomyelitis and deep tissue infections. Due to the morbidity and costs associated with its sequelae, strategies to reduce pin site infections are vital. Current strategies for preventing implant-associated infections include coatings with antibiotics, antimicrobial polymers and peptides, silver, and other antiseptics like chlorhexidine and silver-sulfadiazine. Problems facing the development of antimicrobial coatings on orthopedic implants and, specifically, on pins known as Kirschner wires (or K-wires) include poor adhesion of the drug-eluting layer, which is easily removed by shear forces during the implantation. Development of highly adhesive drug-eluting coatings could therefore lead to improved antimicrobial efficacy of these devices and ultimately reduce the burden of pin site infections. In response to this need, we developed two types of gel coatings: synthetic poly-glycidyl methacrylate-based and natural-chitosan-based. Upon drying, these gel coatings showed strong adhesion to pins and remained undamaged after the application of strong shear forces. We also demonstrated that antibiotics can be incorporated into these gels, and a K-wire with such a coating retained antimicrobial efficacy after drilling into and removal from a bone. Such a coating could be invaluable for K-wires and other orthopedic implants that experience strong shear forces during their implantation.

show abstract

Migration of K-wire into the cavum pleura after the reduction of acromioclavicular dislocation, a case report and review of literature

Cited by 4 publications

References 9 publications

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

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

Highly Adhesive Antimicrobial Coatings for External Fixation Devices

Contact Info

Product

Resources

About