Broken Kirschner Wires Can Migrate: A Case Report and Review of Literature

Sadat-Ali, Mir; Shehri, Abdullah M.; AlHassan, Mohammed A.; AlTabash, Khalid; Mohamed, Fatema Abdul Mohsen; Aboutaleb, Mohamed Mokhles; AlGhanim, Ali A.

doi:10.13107/jocr.2020.v10.i09.1884

Cited by 3 publications

(4 citation statements)

References 36 publications

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“…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%

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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

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Section: Discussionmentioning

confidence: 99%

“…[ 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. Only one case was reported distal migration of the K-wire from the patella to the ankle.…”

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

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“…Although rare, this complication necessitates surgical preparedness for timely recognition and removal of the fractured wire. The shoulder region is particularly susceptible to K-wire migration during surgical procedures (Sadat-Ali, et al, 2020). K-wire migration after fixation surgery has been reported to occur anywhere between 5.8% and 54% of the time.…”

Section: Discussionmentioning

confidence: 99%

Spinal K-Wire Migration Following Acromioclavicular Dislocation Surgical Treatment: a Case Report With Scoping Review Discussion

Nizar Al Rhaazi,

Ahmadin Y.R. Susatyo,

Faesal

et al. 2023

MBIOMJ

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Background: Kirschner wire as internal fixation is a common instrument used in any small bone, including on Acromioclavicular Dislocation Surgical Treatment (ADST). Due to the characteristic of the wire, which is less rigid than any other instrument, the wire can sometimes migrate unexpectedly into various locations. Wire migration has been reported sporadically since 1943. However, spinal migration is still underreported. In addition, the mechanism of spinal migration and the evacuation method remains unclear. Objective: The purpose of this study was to report a case of K-wire spinal migration to cervical vertebrae C6-C7 following surgical treatment and discuss the case using the results of a scoping review. Case: A 51 years-old man with wire migration to cervical vertebrae C6-C7 complained of painful sensations around the left side of the neck and left shoulder, which aggravated with shoulder movement. He underwent left acra omioclavicular joint repair surgery three years ago after a motorcycle accident. No other abnormalities were found in either physical or neurological examinations. Discussion: In the last 10 years, six cases of spinal migration after ADST have been reported, with less than one case reported a year. The cases' gender was all male, with a mean age of 43.33 years old. The majority of them underwent acromioclavicular fixation in 50% of cases, and the average time from migration to surgery is 71 months. The most common migration is located in the cervical region (66.67%), and the penetrating points are equal in all cases. In the non-bent wire group, an entire migration has been reported. The evacuation technique used in all previous cases was direct access surgery by gently pulling out the wire along its axis under visual control. Various mechanisms contribute to spinal migration, but shoulder movement is arguably the most influential factor. Conclusion: Cervical migration post-ADST commonly occurs and may cause severe morbidity.

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“…Regular follow-up appointments with appropriate imaging studies are essential to identify and address hardware-related complications promptly. In some cases, revision surgery may be required to address these issues and ensure the continued efficacy of the fixation [ 11 ].…”

Section: Reviewmentioning

confidence: 99%

Intramedullary Kirschner Wire Fixation for Metatarsal Fractures: A Comprehensive Review of Treatment Outcomes

Patel,

Deshpande,

Goel

et al. 2024

Cureus

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Metatarsal fractures pose significant challenges in orthopedic practice, necessitating effective treatment methods to ensure optimal patient outcomes. This comprehensive review focuses on intramedullary Kirschner wire fixation as a promising intervention for metatarsal fractures. Beginning with an overview of metatarsal fractures and the imperative for effective treatments, the review delves into intramedullary fixation's definition, historical background, advantages, and disadvantages. Indications for its use in metatarsal fractures are discussed, providing a foundation for understanding its application. The surgical technique section outlines critical aspects, including patient selection criteria and preoperative planning. Before presenting a detailed step-by-step procedure for intramedullary Kirschner wire fixation, anesthesia considerations are explored. Emphasizing precision, fluoroscopic guidance, and meticulous postoperative care, this section provides insights for surgeons and healthcare practitioners. Considerations for rehabilitation follow, addressing postoperative care, expected recovery timelines, and physical therapy recommendations. Early mobilization, weight-bearing guidelines, and a structured rehabilitation program play pivotal roles in recovery. In the conclusion, key findings are summarized, highlighting the efficacy of intramedullary Kirschner wire fixation, its advantages, and recommendations for clinical practice. Additionally, areas for future research are identified, guiding further exploration and refinement of this surgical approach. This review is valuable for clinicians, researchers, and healthcare practitioners involved in metatarsal fracture management, contributing to the evolution of treatment strategies and improving patient care.

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Broken Kirschner Wires Can Migrate: A Case Report and Review of Literature

Abstract: Wires do break due to metal fatigue and technical difficulty. Broken wires do migrate and should be removed to avoid serious complications. Unbroken wires should also be removed once their pupose is achieved.

Cited by 3 publications

References 36 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

Spinal K-Wire Migration Following Acromioclavicular Dislocation Surgical Treatment: a Case Report With Scoping Review Discussion

Intramedullary Kirschner Wire Fixation for Metatarsal Fractures: A Comprehensive Review of Treatment Outcomes

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