Migration of a Broken Trochanteric Wire to the Popliteal Fossa

Makki, Daoud; Goru, Poornanand; Prakash, Varadarajan; Aldam, CH

doi:10.1016/j.arth.2010.03.008

Cited by 11 publications

(5 citation statements)

References 9 publications

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“…Another important but rare complication of these constructs is hardware migration. Some cases have been reported in the literature related to cable or wire failure and their local and distant migration [ 9 – 11 ], but actual prevalence is not well-known. In a study, Ritter et al found no difference between wires and cables in the possibility of breakage [ 12 ], but migrations were mostly reported with wires rather than cables, probably due to multifilament structures of cables limiting their advance in a soft tissue.…”

Section: Discussionmentioning

confidence: 99%

Medial Migration of a Broken Trochanteric Cable

Karaismailoğlu

2018

Case Reports in Orthopedics

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Background Cerclage wires or cables are commonly being used in hip reconstruction procedures like primary (especially in patients with developmental hip dysplasia) or revision arthroplasty. Local or distant migration of a broken cable or wire is a complication that might lead to devastating situations depending on the route of migration. Case Presentation We report a case of a 40-year-old female who underwent bilateral total hip arthroplasty surgery due to bilateral developmental hip dysplasia. Trochanteric osteotomy was needed in her right hip to advance trochanter major distally. Trochanteric fixation was achieved by a cerclage cable system. Four years after the surgery, the patient referred to the hospital with a prominence and pain in her right inguinal area. Radiographies revealed medial migration of a broken trochanteric cable part. The possible route of the cable was through medial adductor muscles, posterior to the femoral neurovascular bundle and anterior to the sciatic nerve. Both migrated and remaining parts of the cable were extracted under general anesthesia. Conclusion Broken cables should be followed carefully due to their sharpness and possible serious complications secondary to distant migration. Extraction might be inevitable in case of a close relation with neurovascular structures.

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Section: Discussionmentioning

confidence: 99%

Medial Migration of a Broken Trochanteric Cable

Karaismailoğlu

2018

Case Reports in Orthopedics

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“…Orthopedic cerclage wires have also been reported to migrate to vital structures via the circulatory system, with one report of a broken piece of patellar wire migrating to the heart ( 9 ). Trochanteric wires, generally for use in hip arthroplasty, have been reported to migrate locally into the hip joint ( 10 ) or into the popliteal fossa ( 11 ). Here, we report the migration of frayed braided cable wire fragments from the proximal femur distally into the knee joint.…”

Section: Discussionmentioning

confidence: 99%

Migration of trochanteric cerclage cable debris to the knee joint

Kollitz¹,

Dale²,

Richardson³

2014

Radiology Case Reports

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Migrating orthopedic hardware has widely been reported in the literature. Most reported cases of migrating hardware involve smooth Kirschner wires or loosening/fracture of hardware involved with joint stabilization/fixation. It is unusual for hardware to migrate within the soft tissues. In some cases, smooth Kirschner wires have migrated within the thoracic cage—a proposed mechanism for this phenomenon is the negative intrathoracic pressure. While wires have also been reported to gain access to circulation, transporting them over larger distances, the majority of broken or retained wires remain local. We report a case of a 34-year-old man in whom numerous fragments of braided cable migrated from the hip to the knee.

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“…3 ). The migration of broken wire fragment to some locations such as acetabular articulating surface of THA components, [ 23 ] the popliteal fossa, [ 24 ] and the left side of the heart. [ 25 ] Therefore, steel wires seem to more suitable for uncomplicated intertrochanteric fractures.…”

Section: The Choice Of the Internal Fixationmentioning

confidence: 99%

Fixation options for reconstruction of the greater trochanter in unstable intertrochanteric fracture with arthroplasty

Huang¹,

Zhang²,

et al. 2021

Medicine

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Introduction: With the aggravation of population aging, the incidence of intertrochanteric fracture also increases dramatically. Patients are often elderly accompany with severe osteoporosis and various complications. Therefore, we should select an individualized treatment based on the each patient's state. Arthroplasty is recommended for unstable fractures with obvious osteoporosis, ipsilateral femoral head necrosis or arthritis. Rigid fixation of the greater trochanter with arthroplasty is challenging because of the powerful pulling forces created by multiple muscles being transmitted to the greater trochanter. Currently, there are few contemporary literatures on the evaluation of unstable intertrochanteric fracture with efficient fixation of the greater trochanter. Moreover, there is no consensus to choose which implant to immobilize the greater trochanter. The purpose of this study was to review previous literatures and provide a valuable guidance. Conclusions: The locking plate, which not only provides rigid fixation but also results in lower rate of postoperative complications. However, further prospective randomized and cohort studies are needed.

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Migration of a Broken Trochanteric Wire to the Popliteal Fossa

Cited by 11 publications

References 9 publications

Medial Migration of a Broken Trochanteric Cable

Medial Migration of a Broken Trochanteric Cable

Migration of trochanteric cerclage cable debris to the knee joint

Fixation options for reconstruction of the greater trochanter in unstable intertrochanteric fracture with arthroplasty

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