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Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation
At Bunbury Regional Hospital, we recently saw a case where Kirschner wires (K-wires), used during open reduction and internal fixation of olecranon, were propelled down the intramedullary canal intraoperatively. The K-wire was only secured unicortically. From our experience, we have developed steps...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813624/ https://www.ncbi.nlm.nih.gov/pubmed/24964438 http://dx.doi.org/10.1093/jscr/rjt026 |
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author | Eranki, Vivek Blakeney, William Smith, Simon |
author_facet | Eranki, Vivek Blakeney, William Smith, Simon |
author_sort | Eranki, Vivek |
collection | PubMed |
description | At Bunbury Regional Hospital, we recently saw a case where Kirschner wires (K-wires), used during open reduction and internal fixation of olecranon, were propelled down the intramedullary canal intraoperatively. The K-wire was only secured unicortically. From our experience, we have developed steps to prevent this complication. First, where the wires are being used as part of a tension band wire construct, we suggest drilling the distal hole prior to the placement of the K-wires and, secondly, where K-wires are being used to secure the fracture fragment, the K-wires can be secured with artery clips to ensure that the wires remain in position. |
format | Online Article Text |
id | pubmed-3813624 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-38136242013-10-31 Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation Eranki, Vivek Blakeney, William Smith, Simon J Surg Case Rep Case Reports At Bunbury Regional Hospital, we recently saw a case where Kirschner wires (K-wires), used during open reduction and internal fixation of olecranon, were propelled down the intramedullary canal intraoperatively. The K-wire was only secured unicortically. From our experience, we have developed steps to prevent this complication. First, where the wires are being used as part of a tension band wire construct, we suggest drilling the distal hole prior to the placement of the K-wires and, secondly, where K-wires are being used to secure the fracture fragment, the K-wires can be secured with artery clips to ensure that the wires remain in position. Oxford University Press 2013-05-24 /pmc/articles/PMC3813624/ /pubmed/24964438 http://dx.doi.org/10.1093/jscr/rjt026 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com. |
spellingShingle | Case Reports Eranki, Vivek Blakeney, William Smith, Simon Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation |
title | Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation |
title_full | Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation |
title_fullStr | Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation |
title_full_unstemmed | Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation |
title_short | Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation |
title_sort | kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813624/ https://www.ncbi.nlm.nih.gov/pubmed/24964438 http://dx.doi.org/10.1093/jscr/rjt026 |
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