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

Kirschner wires are in use in orthopedic and trauma surgery since the past 80 years. These wires can break due to metal fatigue and migrate which can cause lethal complications. A 27-year-old female sickle cell patient with avascular necrosis of the head of femur, drilling, and injection of the oste...

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Published inJournal of orthopaedic case reports Vol. 10; no. 9; pp. 11 - 14
Main Authors Sadat-Ali, Mir, Shehri, Abdullah M, AlHassan, Mohammed A, AlTabash, Khalid, Mohamed, Fatema Abdul Mohsen, Aboutaleb, Mohamed Mokhles, AlGhanim, Ali A
Format Journal Article
LanguageEnglish
Published India Indian Orthopaedic Research Group 01.12.2020
Subjects
Case Report
Death
K-Wires
Complications
Migration
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Abstract Kirschner wires are in use in orthopedic and trauma surgery since the past 80 years. These wires can break due to metal fatigue and migrate which can cause lethal complications. A 27-year-old female sickle cell patient with avascular necrosis of the head of femur, drilling, and injection of the osteoblasts in the head of femur was being performed. A 2 cm of 2.0 mm proximal tip of the guide wire broke. Discussion started whether to leave the wire and the young decided to leave the broken wire, but the wisdom directed us to remove it. Migration of wires does occur, we believe not only broken wires should be removed but also even the unbroken wire to be removed once the purpose of use is achieved.
AbstractList Kirschner wires are in use in orthopedic and trauma surgery since the past 80 years. These wires can break due to metal fatigue and migrate which can cause lethal complications. A 27-year-old female sickle cell patient with avascular necrosis of the head of femur, drilling, and injection of the osteoblasts in the head of femur was being performed. A 2 cm of 2.0 mm proximal tip of the guide wire broke. Discussion started whether to leave the wire and the young decided to leave the broken wire, but the wisdom directed us to remove it. Migration of wires does occur, we believe not only broken wires should be removed but also even the unbroken wire to be removed once the purpose of use is achieved.
Author Aboutaleb, Mohamed Mokhles
AlHassan, Mohammed A
AlTabash, Khalid
Sadat-Ali, Mir
Shehri, Abdullah M
AlGhanim, Ali A
Mohamed, Fatema Abdul Mohsen
AuthorAffiliation 1 Department of Orthopaedic Surgery, King Fahd Hospital of the University, Imam Abdul Rahman Bin Faisal University, AlKhobar, Saudi Arabia
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Issue 9
Keywords Death
K-Wires
Complications
Migration
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