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一名脑瘫患者手术治疗后腹膜后克氏针移位

Retroperitoneal Kirschner wire migration after surgical treatment in a patient with cerebral palsy.

作者信息

Sever Gökhan Bülent

机构信息

SANKO Üniversitesi Sani Konukoğlu Uygulama ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 27090 Şehitkamil, Gaziantep, Türkiye.

出版信息

Jt Dis Relat Surg. 2020;31(2):382-385. doi: 10.5606/ehc.2020.74846. Epub 2020 Jun 18.

DOI:10.5606/ehc.2020.74846
PMID:32584741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7489157/
Abstract

Although Kirschner (K)-wire is among the most commonly used implants in orthopedic surgeries, the migration of this material is a very rare complication. In this article, we present the case of a K-wire migration four years after the surgery detected during the routine control of a 10-year-old male patient who underwent surgical treatment due to the diagnosis of developmental hip dys-plasia on the cerebral palsy. The aim of this study was to raise the awareness regarding this complication particularly for the pediatric orthopedic surgeons, and to recommend the removal of the K-wire as soon as bone union occurs.

摘要

尽管克氏针是骨科手术中最常用的植入物之一，但这种材料的移位是一种非常罕见的并发症。在本文中，我们报告了一例10岁男性患者的病例，该患者因脑瘫合并发育性髋关节发育不良接受手术治疗，术后四年在常规检查中发现克氏针移位。本研究的目的是提高对这种并发症的认识，特别是对小儿骨科医生，并建议在骨愈合后尽快取出克氏针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/6e439c84871c/JDRS-2020-31-2-382-385-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/66130f91c4b3/JDRS-2020-31-2-382-385-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/9399ecf630da/JDRS-2020-31-2-382-385-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/8db7ff689287/JDRS-2020-31-2-382-385-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/4346b0252066/JDRS-2020-31-2-382-385-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/8d14ef776a98/JDRS-2020-31-2-382-385-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/6e439c84871c/JDRS-2020-31-2-382-385-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/66130f91c4b3/JDRS-2020-31-2-382-385-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/9399ecf630da/JDRS-2020-31-2-382-385-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/8db7ff689287/JDRS-2020-31-2-382-385-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/4346b0252066/JDRS-2020-31-2-382-385-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/8d14ef776a98/JDRS-2020-31-2-382-385-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79c/7489157/6e439c84871c/JDRS-2020-31-2-382-385-F6.jpg

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本文引用的文献

1
Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator.三种手术方法治疗桡骨远端关节内粉碎性骨折的比较：掌侧锁定钢板、非桥接外固定架和桥接外固定架。
Eklem Hastalik Cerrahisi. 2019 Dec;30(3):224-32. doi: 10.5606/ehc.2019.66955.
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A new method for the assessment of reduction tension during open reduction in patients with developmental dysplasia of the hip.
Eklem Hastalik Cerrahisi. 2019 Apr;30(1):38-45. doi: 10.5606/ehc.2019.61744.
3
Unusual migration of a Kirschner wire in a patient with Osteogenesis Imperfecta: A case report.1例成骨不全患者克氏针异常移位：病例报告
Medicine (Baltimore). 2018 Aug;97(34):e11829. doi: 10.1097/MD.0000000000011829.
4
Forgotten Kirschner wire passing across the sigmoid colon.遗忘的克氏针穿过乙状结肠。
Clin J Gastroenterol. 2017 Apr;10(2):154-156. doi: 10.1007/s12328-017-0713-8. Epub 2017 Jan 21.
5
An inflammatory polyp in the colon caused by the migration of a Kirschner wire following fixation of a pelvic fracture.一枚因骨盆骨折固定后克氏针移位所致的结肠炎性息肉。
Intern Med. 2014;53(7):699-701. doi: 10.2169/internalmedicine.53.1407. Epub 2012 Mar 1.
6
Kirschner wire bending.克氏针弯曲。
J Orthop Trauma. 2013 Nov;27(11):e260-3. doi: 10.1097/BOT.0b013e318290f818.
7
Migration of intra-articular K-wire into the contralateral pelvis after surgery for developmental dysplasia of the hip: a case report.髋关节发育不良手术后关节内克氏针迁移至对侧骨盆：一例报告
Acta Orthop Traumatol Turc. 2010;44(5):413-5. doi: 10.3944/AOTT.2010.2334.
8
A review of K-wire related complications in the emergency management of paediatric upper extremity trauma.小儿上肢创伤急诊处理中克氏针相关并发症的综述
Ann R Coll Surg Engl. 2007 Apr;89(3):252-8. doi: 10.1308/003588407X155482.
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Unusual K-wire migration.克氏针异常移位。
Indian J Pediatr. 2006 Dec;73(12):1107-8. doi: 10.1007/BF02763056.
10
Intrapelvic migration of a Kirschner wire.克氏针盆腔内移位
J Chin Med Assoc. 2005 Feb;68(2):96-8. doi: 10.1016/S1726-4901(09)70143-1.