克氏针断裂可发生移位：一例病例报告及文献综述
Broken Kirschner Wires Can Migrate: A Case Report and Review of Literature.
作者信息
Sadat-Ali Mir, Shehri Abdullah M, AlHassan Mohammed A, AlTabash Khalid, Mohamed Fatema Abdul Mohsen, Aboutaleb Mohamed Mokhles, AlGhanim Ali A
机构信息
Department of Orthopaedic Surgery, King Fahd Hospital of the University, Imam Abdul Rahman Bin Faisal University, AlKhobar, Saudi Arabia.
出版信息
J Orthop Case Rep. 2020 Dec;10(9):11-14. doi: 10.13107/jocr.2020.v10.i09.1884.
INTRODUCTION
Kirschner wires are in use in orthopedic and trauma surgery since the past 80 years. These wires can break due to metal fatigue and migrate which can cause lethal complications.
CASE REPORT
A 27-year-old female sickle cell patient with avascular necrosis of the head of femur, drilling, and injection of the osteoblasts in the head of femur was being performed. A 2 cm of 2.0 mm proximal tip of the guide wire broke. Discussion started whether to leave the wire and the young decided to leave the broken wire, but the wisdom directed us to remove it.
CONCLUSION
Migration of wires does occur, we believe not only broken wires should be removed but also even the unbroken wire to be removed once the purpose of use is achieved.
引言
克氏针在过去80年里一直应用于骨科和创伤外科手术。这些针可能因金属疲劳而断裂并发生移位，这可能导致致命并发症。
病例报告
一名27岁患有股骨头缺血性坏死的镰状细胞病女性患者，正在进行股骨头钻孔和注射成骨细胞手术。导丝近端2厘米长的2.0毫米尖端断裂。关于是否保留该导丝展开了讨论，患者决定保留断裂的导丝，但明智的做法是指导我们将其取出。
结论
导丝确实会发生移位，我们认为不仅断裂的导丝应取出，而且一旦达到使用目的，即使未断裂的导丝也应取出。
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本文引用的文献
Rev Bras Ortop (Sao Paulo). 2019-4
Medicine (Baltimore). 2018-8
J Spinal Cord Med. 2020-3
BMJ Case Rep. 2017-8-16
J Orthop Case Rep. 2016
Clin J Gastroenterol. 2017-4
J Foot Ankle Surg. 2016
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