An extraordinary mechanism causing intraoperative migration of the Kirschner-wire

作者:Eroglu Mehmet*; Ozcan Ozal; Senturk Ihsan; Yucehan Mehmet
来源:Joint Diseases and Related Surgery, 2016, 27(1): 58-60.
DOI:10.5606/ehc.2016.12

摘要

Migration of Kirschner wires (K-wires) postoperatively and with use of cannulated implants intraoperatively is a well-known complication. In this article, we present an extraordinary mechanism causing intraoperative migration of a K-wire. A K-wire which was used for temporary fixation of fracture fragments migrated forwardly due to its contact with the drill bit while drilling a hole for a screw. The interaction between the K-wire and the drill bit simulated a gear wheel effect and thus the rotating K-wire advanced. Although no complications occurred in this case, we believe that the mentioned mechanism may be of importance particularly in osteoporotic patients and may cause damage to vital structures.

  • 出版日期2016

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