Kirschner Wires May Break and Migrate Even after Fracture Healing

劉 献道(Hsien-Tao Liu), 游 重銘(Chung-Ming Yu), 王 宜君(I-Chun Wang), 蘇 君毅(Chun-Yi Su), Chih-Hwa Chen

Research output: Contribution to journalArticle

Abstract

We present two cases with symptoms produced by migrated broken piece of fractured Kirschner wire after fracture healing. One case received surgery for right distal clavicle fracture and the broken piece of one Kirschner wire migrated to right chest wall inducing chest wall tenderness. Another case received surgery for right fifth metatarsal fracture and the broken piece of one pin migrated to metatarsophalangeal area between the second and third metatarsal head inducing weight-bearing pain of his right plantar foot. Both pins broke even after fracture healing. We emphasize that even achieving bony healing and well bent of pin ends, all the applied pins should be completely removed to prevent breakage and migration which may induce unpredictable complications. Meanwhile, from our two cases and two other cases reported in the literature, we found two common characteristics of wire break after fracture healing. The first, all the broken pins are too long in the initial appliance. The other, the break point of the pin is not at the joint or fracture site.
Original languageEnglish
Pages (from-to)138-142
Number of pages5
JournalJournal of Orthopedic Surgery Taiwan
Volume24
Issue number4
Publication statusPublished - 2007

Fingerprint

Bone Wires
Fracture Healing
Metatarsal Bones
Thoracic Wall
Clavicle
Weight-Bearing
Foot
Joints
Pain

Keywords

  • Kirschner wire
  • broken wire migration
  • implant removal

Cite this

劉献道(Hsien-Tao L, 游重銘(Chung-Ming Y, 王宜君(I-Chun W, 蘇君毅(Chun-Yi S, & Chen, C-H. (2007). Kirschner Wires May Break and Migrate Even after Fracture Healing. Journal of Orthopedic Surgery Taiwan, 24(4), 138-142.

Kirschner Wires May Break and Migrate Even after Fracture Healing. / 劉献道(Hsien-Tao Liu); 游重銘(Chung-Ming Yu); 王宜君(I-Chun Wang); 蘇君毅(Chun-Yi Su); Chen, Chih-Hwa.

In: Journal of Orthopedic Surgery Taiwan, Vol. 24, No. 4, 2007, p. 138-142.

Research output: Contribution to journalArticle

劉献道(Hsien-TaoL, 游重銘(Chung-MingY, 王宜君(I-ChunW, 蘇君毅(Chun-YiS & Chen, C-H 2007, 'Kirschner Wires May Break and Migrate Even after Fracture Healing', Journal of Orthopedic Surgery Taiwan, vol. 24, no. 4, pp. 138-142.
劉献道(Hsien-TaoL, 游重銘(Chung-MingY, 王宜君(I-ChunW, 蘇君毅(Chun-YiS, Chen C-H. Kirschner Wires May Break and Migrate Even after Fracture Healing. Journal of Orthopedic Surgery Taiwan. 2007;24(4):138-142.
劉献道(Hsien-Tao Liu) ; 游重銘(Chung-Ming Yu) ; 王宜君(I-Chun Wang) ; 蘇君毅(Chun-Yi Su) ; Chen, Chih-Hwa. / Kirschner Wires May Break and Migrate Even after Fracture Healing. In: Journal of Orthopedic Surgery Taiwan. 2007 ; Vol. 24, No. 4. pp. 138-142.
@article{cdf403d761f94e6883f6489f7cddcd1b,
title = "Kirschner Wires May Break and Migrate Even after Fracture Healing",
abstract = "We present two cases with symptoms produced by migrated broken piece of fractured Kirschner wire after fracture healing. One case received surgery for right distal clavicle fracture and the broken piece of one Kirschner wire migrated to right chest wall inducing chest wall tenderness. Another case received surgery for right fifth metatarsal fracture and the broken piece of one pin migrated to metatarsophalangeal area between the second and third metatarsal head inducing weight-bearing pain of his right plantar foot. Both pins broke even after fracture healing. We emphasize that even achieving bony healing and well bent of pin ends, all the applied pins should be completely removed to prevent breakage and migration which may induce unpredictable complications. Meanwhile, from our two cases and two other cases reported in the literature, we found two common characteristics of wire break after fracture healing. The first, all the broken pins are too long in the initial appliance. The other, the break point of the pin is not at the joint or fracture site.",
keywords = "Kirschner wire, broken wire migration, implant removal",
author = "劉, {献道(Hsien-Tao Liu)} and 游, {重銘(Chung-Ming Yu)} and 王, {宜君(I-Chun Wang)} and 蘇, {君毅(Chun-Yi Su)} and Chih-Hwa Chen",
year = "2007",
language = "English",
volume = "24",
pages = "138--142",
journal = "Journal of Orthopedic Surgery Taiwan",
issn = "1011-6923",
publisher = "中華民國骨科醫學會",
number = "4",

}

TY - JOUR

T1 - Kirschner Wires May Break and Migrate Even after Fracture Healing

AU - 劉, 献道(Hsien-Tao Liu)

AU - 游, 重銘(Chung-Ming Yu)

AU - 王, 宜君(I-Chun Wang)

AU - 蘇, 君毅(Chun-Yi Su)

AU - Chen, Chih-Hwa

PY - 2007

Y1 - 2007

N2 - We present two cases with symptoms produced by migrated broken piece of fractured Kirschner wire after fracture healing. One case received surgery for right distal clavicle fracture and the broken piece of one Kirschner wire migrated to right chest wall inducing chest wall tenderness. Another case received surgery for right fifth metatarsal fracture and the broken piece of one pin migrated to metatarsophalangeal area between the second and third metatarsal head inducing weight-bearing pain of his right plantar foot. Both pins broke even after fracture healing. We emphasize that even achieving bony healing and well bent of pin ends, all the applied pins should be completely removed to prevent breakage and migration which may induce unpredictable complications. Meanwhile, from our two cases and two other cases reported in the literature, we found two common characteristics of wire break after fracture healing. The first, all the broken pins are too long in the initial appliance. The other, the break point of the pin is not at the joint or fracture site.

AB - We present two cases with symptoms produced by migrated broken piece of fractured Kirschner wire after fracture healing. One case received surgery for right distal clavicle fracture and the broken piece of one Kirschner wire migrated to right chest wall inducing chest wall tenderness. Another case received surgery for right fifth metatarsal fracture and the broken piece of one pin migrated to metatarsophalangeal area between the second and third metatarsal head inducing weight-bearing pain of his right plantar foot. Both pins broke even after fracture healing. We emphasize that even achieving bony healing and well bent of pin ends, all the applied pins should be completely removed to prevent breakage and migration which may induce unpredictable complications. Meanwhile, from our two cases and two other cases reported in the literature, we found two common characteristics of wire break after fracture healing. The first, all the broken pins are too long in the initial appliance. The other, the break point of the pin is not at the joint or fracture site.

KW - Kirschner wire

KW - broken wire migration

KW - implant removal

M3 - Article

VL - 24

SP - 138

EP - 142

JO - Journal of Orthopedic Surgery Taiwan

JF - Journal of Orthopedic Surgery Taiwan

SN - 1011-6923

IS - 4

ER -