Yurtçu Müslim, Senaran Hakan, Türk Hakan H, Abasıyanık Adnan, Tuncay Ibrahim
Selçuk University Selçuklu Faculty of Medicine, Department of Orthopedics and Traumatology, Konya, Turkey.
Acta Orthop Traumatol Turc. 2010;44(5):413-5. doi: 10.3944/AOTT.2010.2334.
Transarticular fixation of femoral head into acetabulum with K-wire is a seldomly used surgical method in difficult cases of developmental dysplasia of the hip (DDH). This paper presents a child with intrapelvic transvesicular migration of a K-wire without any symptoms after treatment of DDH. Eight years old girl who had multiple surgeries 4 years ago due to bilateral DDH applied to the orthopedics clinic with limping. She had good range of motion of both hips. At the pelvis radiograph, there was an intrapelvic K-wire standing between two hemipelvises like a bridge. She did not have any enteral and urological symptoms after the previous operations. We planned to remove the K-wire in cooperation with the pediatric surgery department. On the cystoscopy, K-wire was seen passing through the urinary bladder. Wire was cut at the middle point and taken out of the body by laparotomy. The patient was discharged without any postoperative complications. K-wire retention in the body has high chance of migration. Early postoperative removal of the K-wire is necessary to prevent possible complications.
用克氏针将股骨头经关节固定于髋臼是治疗发育性髋关节发育不良（DDH）困难病例中很少使用的手术方法。本文介绍了一名儿童，在DDH治疗后克氏针在盆腔内经膀胱迁移但无任何症状。一名8岁女孩4年前因双侧DDH接受了多次手术，现因跛行到骨科门诊就诊。她双髋活动范围良好。骨盆X线片显示，一根克氏针像桥一样位于两个半骨盆之间的盆腔内。她之前手术后没有任何肠道和泌尿系统症状。我们计划与小儿外科合作取出克氏针。膀胱镜检查时，可见克氏针穿过膀胱。在中点处剪断克氏针，通过剖腹手术将其取出体外。患者术后无任何并发症出院。克氏针留置体内有很高的迁移几率。术后早期取出克氏针对于预防可能的并发症是必要的。
