Subcostal wire migration from the left clavicle internal fixation: A case report.
Meirizal1, Muhammad Fadhil Wasi Pradipta1, Agung Susilo Lo2
1Department of Orthopedics and Traumatology, RSUP Dr. Sardjito Hospital, Jl. Kesehatan Sendowo No.1, Sleman 55281, D.I.Yogyakarta, Indonesia; Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jl. Farmako, Sendowo, Sekip Utara, Sleman 55281, D.I.Yogyakarta, Indonesia.
International Journal of Surgery Case Reports
|July 12, 2024
Summary
Kirschner wire migration after clavicle fixation can cause serious complications. Prompt detection and surgical removal of migrated wires are crucial for patient safety and optimal outcomes.
Area of Science:
- Orthopedic surgery
- Medical device safety
- Radiology
Background:
- Kirschner wires are common orthopedic implants.
- Wire migration is a known complication, potentially leading to severe internal injuries.
- Subcostal wire migration poses significant risks to vital organs.
Observation:
- A 45-year-old male presented with left shoulder pain one year after clavicle fixation.
- X-ray and CT revealed a migrated Kirschner wire from the clavicle into the subcostal space.
- The wire was migrating inferiorly towards the thoracic cavity.
Findings:
- The migrated Kirschner wire was successfully removed by Thoracic and Cardiovascular Surgery.
- No complications were reported following the wire extraction surgery.
- Causes of migration include muscular activity, respiration, gravity, and limb movement.
Implications:
- Early detection and prompt surgical intervention are vital for managing Kirschner wire migration.
- Preventive measures include wire bending, using threaded wires, and timely removal.
- Orthopedic surgeons must remain vigilant regarding potential wire migration risks.
