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Watch out for the K-wire: painful experiences in two cases
1Division of Plastic Surgery, Department of Surgery, Veterans General Hospital, Taipei, Taiwan.
British Journal of Plastic Surgery
|January 29, 2003
Summary
Unusual migration of Kirschner wires (K-wires) is rare in orthopaedic surgery. This case report highlights the risk of K-wire migration during plastic surgery to prevent severe complications.
Area of Science:
- Plastic Surgery
- Orthopaedic Surgery
- Medical Device Migration
Background:
- Kirschner wires (K-wires) are commonly used in orthopaedic and plastic surgery for fracture fixation and bone stabilization.
- Literature reviews indicate a paucity of documented cases concerning K-wire migration, primarily focusing on orthopaedic procedures since 1991.
Observation:
- This report details a case involving K-wire use in plastic surgery.
- The focus is on the potential for unexpected migration of the K-wire within the surgical site.
Findings:
- The study emphasizes the underreported phenomenon of K-wire migration in the context of plastic surgery.
- It suggests that migration risks may extend beyond traditionally reported orthopaedic scenarios.
Implications:
- Awareness of K-wire migration potential in plastic surgery is crucial for surgical planning and patient safety.
- Highlighting this risk can help prevent catastrophic complications associated with misplaced K-wires.
- Further investigation into the incidence and mechanisms of K-wire migration in diverse surgical fields is warranted.

