Eranki Vivek, Blakeney William, Smith Simon
Royal Perth Hospital, Perth, WA, Australia
Royal Perth Hospital, Perth, WA, Australia.
J Surg Case Rep. 2013 May 27;2013(5):rjt026. doi: 10.1093/jscr/rjt026.
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.
在本伯里地区医院，我们最近遇到了这样一个病例：在尺骨鹰嘴切开复位内固定术中使用的克氏针在手术过程中被推进了髓腔内。该克氏针仅进行了单皮质固定。根据我们的经验，我们制定了预防这种并发症的步骤。首先，当克氏针作为张力带钢丝结构的一部分使用时，我们建议在放置克氏针之前先钻远端孔；其次，当使用克氏针固定骨折碎片时，可用动脉夹固定克氏针，以确保克氏针保持在原位。
