Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case

INTRODUCTION: Comminuted fracture of patella is most commonly treated by tension band wiring with cerclage wiring. Broken cerclage wiring after such surgery is not uncommon but intra-articular migration of broken cerclage wire is rarely known and described complication. CASE REPORT: A 51-year-old ma...

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Autores principales: Sharma, Satish Kumar, Sharma, Sonendra Kumar, Aslam, Mohammed, Chadha, Gagan Naresh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404160/
https://www.ncbi.nlm.nih.gov/pubmed/28507964
http://dx.doi.org/10.13107/jocr.2250-0685.622
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author Sharma, Satish Kumar
Sharma, Sonendra Kumar
Aslam, Mohammed
Chadha, Gagan Naresh
author_facet Sharma, Satish Kumar
Sharma, Sonendra Kumar
Aslam, Mohammed
Chadha, Gagan Naresh
author_sort Sharma, Satish Kumar
collection PubMed
description INTRODUCTION: Comminuted fracture of patella is most commonly treated by tension band wiring with cerclage wiring. Broken cerclage wiring after such surgery is not uncommon but intra-articular migration of broken cerclage wire is rarely known and described complication. CASE REPORT: A 51-year-old male patient of Indian origin which was treated, 15 months back for fracture patella with tension band wiring with cerclage wiring, presented with painful restriction of knee movements for the last 4 weeks. X-ray showed cerclage wire had broken at multiple sites with one broken piece migrated intra-articular. This case is unique due to the size of migrated broken cerclage wire which was about 4.5 cm long, second the anterior part of broken wire was hooked around anterior cruciate ligament, which prevented its further migration otherwise neurovascular structures could have been damaged. This intra-articular piece of wire was removed arthroscopically. CONCLUSIONS: We recommend that all patients receiving bone fixation with wires should be counseled about the risks of hardware failure and possible migration, with the option of elective hardware removal discussed. In addition, when wire breakage is detected radiologically, the patient should be strongly advised to have the wires removed as soon as possible.
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spelling pubmed-54041602017-05-15 Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case Sharma, Satish Kumar Sharma, Sonendra Kumar Aslam, Mohammed Chadha, Gagan Naresh J Orthop Case Rep Case Report INTRODUCTION: Comminuted fracture of patella is most commonly treated by tension band wiring with cerclage wiring. Broken cerclage wiring after such surgery is not uncommon but intra-articular migration of broken cerclage wire is rarely known and described complication. CASE REPORT: A 51-year-old male patient of Indian origin which was treated, 15 months back for fracture patella with tension band wiring with cerclage wiring, presented with painful restriction of knee movements for the last 4 weeks. X-ray showed cerclage wire had broken at multiple sites with one broken piece migrated intra-articular. This case is unique due to the size of migrated broken cerclage wire which was about 4.5 cm long, second the anterior part of broken wire was hooked around anterior cruciate ligament, which prevented its further migration otherwise neurovascular structures could have been damaged. This intra-articular piece of wire was removed arthroscopically. CONCLUSIONS: We recommend that all patients receiving bone fixation with wires should be counseled about the risks of hardware failure and possible migration, with the option of elective hardware removal discussed. In addition, when wire breakage is detected radiologically, the patient should be strongly advised to have the wires removed as soon as possible. Indian Orthopaedic Research Group 2016 /pmc/articles/PMC5404160/ /pubmed/28507964 http://dx.doi.org/10.13107/jocr.2250-0685.622 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sharma, Satish Kumar
Sharma, Sonendra Kumar
Aslam, Mohammed
Chadha, Gagan Naresh
Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case
title Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case
title_full Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case
title_fullStr Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case
title_full_unstemmed Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case
title_short Intra-articular Migration of Broken Patellar Tension Band Wire: A Rare Case
title_sort intra-articular migration of broken patellar tension band wire: a rare case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404160/
https://www.ncbi.nlm.nih.gov/pubmed/28507964
http://dx.doi.org/10.13107/jocr.2250-0685.622
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