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克氏针移位十三年：一例纵隔异物

Thirteen years of migration of Kirschner wires: A mediastinal foreign body.

作者信息

Özbey Mahmut, Türkmen Ufuk, Şahin Ekber

机构信息

Department of Thoracic Surgery, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye.

Department of Cardiovascular Surgery, Hitit University Erol Olcok Training and Reserch Hospital, Çorum, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Jul 27;31(3):412-415. doi: 10.5606/tgkdc.dergisi.2023.21980. eCollection 2023 Jul.

DOI:10.5606/tgkdc.dergisi.2023.21980
PMID:37664779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10472458/
Abstract

Kirschner wires used for orthopedic fixation can rarely migrate over time. A 26-year-old male patient in whom two Kirschner wires were inserted 13 years ago for the stabilization of the right sternoclavicular joint dislocation and migrated into the anterior mediastinum and left hilum was admitted to our clinic. Incidentally detected Kirschner wires on chest radiography were removed by superior mini-sternotomy. In conclusion, since migration of Kirschner wires may cause serious complications, these patients should be followed closely and the wires should be removed once migration is detected.

摘要

用于骨科固定的克氏针随着时间推移很少会发生移位。一名26岁男性患者13年前因右胸锁关节脱位插入了两根克氏针，现克氏针移位至前纵隔和左肺门，前来我院就诊。通过上半部分胸骨切开术取出了胸部X线检查偶然发现的克氏针。总之，由于克氏针移位可能会导致严重并发症，因此应对这些患者进行密切随访，一旦发现移位应取出克氏针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/2e76231c2441/TJTCS-2023-31-3-412-415-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/ec012e1b06f7/TJTCS-2023-31-3-412-415-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/9057c8779f41/TJTCS-2023-31-3-412-415-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/2fa9d8cd30e5/TJTCS-2023-31-3-412-415-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/2e76231c2441/TJTCS-2023-31-3-412-415-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/ec012e1b06f7/TJTCS-2023-31-3-412-415-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/9057c8779f41/TJTCS-2023-31-3-412-415-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/2fa9d8cd30e5/TJTCS-2023-31-3-412-415-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07fa/10472458/2e76231c2441/TJTCS-2023-31-3-412-415-F4.jpg

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本文引用的文献

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Kirschner wire migration from subcapital humeral fracture site, causing hydropneumothorax.克氏针从肱骨头下骨折部位移位，导致血气胸。
Chin J Traumatol. 2016 Oct 1;19(5):305-308. doi: 10.1016/j.cjtee.2015.12.010.
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Video-assisted thoracoscopic surgery for migration of a Kirschner wire in the spinal canal: a case report and literature review.电视辅助胸腔镜手术治疗椎管内克氏针移位：一例报告及文献复习
Turk Neurosurg. 2013;23(6):803-6. doi: 10.5137/1019-5149.JTN.5300-11.1.
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Endopelvic migration of a sternoclavicular K-wire. Case report and review of literature.
克氏针张力带固定鹰嘴截骨术的一种罕见并发症：克氏针远端迁移。
Jt Dis Relat Surg. 2024 Apr 26;35(2):439-442. doi: 10.52312/jdrs.2024.1662.
胸骨锁骨 K 型钉内盆腔迁移。病例报告及文献回顾。
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Migrating foreign body in mediastinum--intravascular Steinman pin.
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Unusual migration of a Kirschner wire.
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