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Intrathoracic migration of a Kirschner wire
S Fuster1, F Palliso, A Combalia
1Department of Orthopaedic Surgery and Traumatology, Hospital Clinic i Provincial, Barcelona, Spain.
Injury
|March 1, 1990
Summary
Kirschner wire migration, a known complication, can occur unusually. This case details shoulder-to-thorax wire migration, emphasizing prevention through wire bending, early removal, and diligent patient follow-up.
Area of Science:
- Orthopedic surgery
- Surgical complications
- Osteosynthesis
Background:
- Migration of orthopedic implants like Kirschner wires and Rush pins is a recognized complication.
- Typically, migration follows a retrograde path, with the wire exiting near its insertion site.
Observation:
- This report details an unusual case of Kirschner wire migration.
- The migration occurred from the shoulder joint to the thoracic cavity.
Findings:
- Several contributing factors led to this specific migration event.
- This directional migration is less common than retrograde migration.
Implications:
- Preventive measures include bending the free end of the Kirschner wire.
- Early removal of osteosynthesis material is crucial.
- Long-term patient follow-up is essential to monitor for delayed complications.