Unusual migration of a Kirschner wire in a patient with Osteogenesis Imperfecta: A case report

Medicine
Taghi BaghdadiFurqan Mohammed Yaseen Khan

Abstract

Kirschner wires (K-wires) are the most commonly used implants in orthopedic surgery. Although complications are not uncommon, they are mostly benign in nature and easily managed. While migration of K-wires is a rare complication, fatal outcomes have been reported. A review of the literature showed that only 7 cases of wire migration in the hip and pelvic region have been reported. Only 2 occurred in the pediatric population. Although K-wires are routinely used in osteogenesis imperfecta (OI) patients, there has been no report of complications in this vulnerable patient population. A 10-year-old girl with OI, presenting with gastrointestinal symptoms 1 year after operative fixation of a subtrochanteric femoral fracture. Pelvic x-ray showed a missing K-wire. The patient was diagnosed with migration of a K-wire from the left femoral neck to the right retroperitoneal space. The patient underwent surgery. During the operation, the migrated K-wire was extracted from just below the 12th rib on the right side. The patient had an uneventful rehabilitation, recovered completely, and was asymptomatic at 2-year follow-up. There has been no prior report of migrated K-wires in the OI population. This is also the first report of a K-wire migr...Continue Reading

References

Mar 12, 2005·Journal of the Chinese Medical Association : JCMA·Yi-Chin FongHorng-Chaung Hsu
Jan 5, 2007·Indian Journal of Pediatrics·K M MaryaS S Sangwan
Mar 31, 2007·Annals of the Royal College of Surgeons of England·H SharmaN M P Clarke
Jan 17, 2008·Current Opinion in Pediatrics·Paul Esposito, Horacio Plotkin
Nov 27, 2008·Journal of Pediatric Orthopedics·François FassierReggie Hamdy
Mar 22, 2013·Journal of Orthopaedic Trauma·Reza FiroozabadiStephen K Benirschke
Jan 23, 2017·Clinical Journal of Gastroenterology·Hiroshi MatsumotoAkiko Shiotani

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Citations

Mar 13, 2021·Journal of Orthopaedic Surgery and Research·Soroush BaghdadiTaghi Baghdadi

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X-ray

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