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Intrapelvic migration of a Kirschner wire
Yi-Chin Fong1, Wu-Chou Lin, Horng-Chaung Hsu
1Department of Orthopedics, China Medical University Hospital, Taichung, Taiwan, R.O.C.
Journal of the Chinese Medical Association : JCMA
|March 12, 2005
Summary
Intrapelvic migration of Kirschner wires after hip fracture surgery is rare but can occur years later. This case highlights the importance of monitoring for these rare complications, even in asymptomatic patients.
Area of Science:
- Orthopedic surgery
- Surgical complications
- Minimally invasive surgery
Background:
- Kirschner wires are utilized in treating hip fractures.
- Intrapelvic migration of these wires is an uncommon but documented complication.
- Delayed complications necessitate long-term patient vigilance.
Observation:
- A case of intrapelvic migration of a Kirschner wire is presented, occurring 10 years post-placement.
- The patient remained asymptomatic despite the migrated foreign body.
- Laparoscopic techniques were employed for the removal of the wire.
Findings:
- The study documents a rare instance of delayed Kirschner wire migration into the pelvis.
- Successful laparoscopic removal of the asymptomatic migrated wire was achieved.
- This case underscores the potential for late-onset complications from orthopedic hardware.
Implications:
- Increased hip surgeries may lead to a higher incidence of retained foreign bodies.
- Intrapelvic foreign bodies pose risks of serious or fatal complications.
- Clinicians should maintain awareness of potential delayed complications in patients with prior hip surgery history.