Grauthoff H, Klammer H L
Rofo. 1978 May;128(5):591-4. doi: 10.1055/s-0029-1230910.
The complications due to migration of a Kirschner wire from the clavicle are described. The major complication of a vascular and pulmonary kind were found in five cases. Migration of the wire into major vessels (aorta, subclavian artery) were seen twice and in three cases, the wire entered the lung. Removal of the wire from the aorta had a fatal result. Before removing displaced fixation wires, accurate localisation is necessary, if necessary using angiography in order to plan the subsequent operation. To avoid migration of the wire, one end should be bent to form a walking-stick shape, and the arm should be immobilised.
描述了克氏针从锁骨移位引起的并发症。发现5例出现血管和肺部等主要并发症。克氏针移入大血管（主动脉、锁骨下动脉）2例，3例克氏针进入肺部。从主动脉取出克氏针导致了致命后果。在取出移位的固定针之前，必须进行精确的定位，必要时使用血管造影术以规划后续手术。为避免克氏针移位，一端应弯曲成拐杖形状，并且手臂应固定。
