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肺内锁骨内固定针迁移:一例报告。

Intra-pulmonary migration of a clavicle osteosynthesis pin: a case report.

机构信息

Thoracic Surgery Department, Abderrahmen Mami University Hospital-Ariana, Faculty of Medicine of Tunis, University of Tunis El Manar, Ariana, Tunisia.

Cardio-Thoracic Surgery Department, University Sahloul Hospital-Sousse, Faculty of Medicine "Ibn El Jazzar" of Sousse, Sousse, Tunisia.

出版信息

J Med Case Rep. 2024 Mar 28;18(1):184. doi: 10.1186/s13256-024-04369-7.

DOI:10.1186/s13256-024-04369-7
PMID:38539178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10976823/
Abstract

BACKGROUND

Fractures of the clavicle are common injuries, which often require reduction and internal fixation. Although Kirschner pins have been commonly used to treat these fractures with good results, migration of these devices may result in severe internal lesions.

CASE PRESENTATION

We report herein the case of 61-year-old man, who presented for intrapulmonary migration of a Kirschner pin, 25 years after closed reduction and fixation of a clavicle fracture.

CONCLUSION

Migration of an osteosynthesis pin can be lethal. Patients with osteosynthesis pins, should have a regular follow, until the removal of the wires.

摘要

背景

锁骨骨折是常见的损伤,通常需要复位和内固定。虽然克氏针已被广泛用于治疗这些骨折,效果良好,但这些器械的迁移可能导致严重的内部损伤。

病例介绍

我们在此报告一例 61 岁男性患者,在闭合复位和固定锁骨骨折 25 年后,出现克氏针内肺迁移。

结论

内固定针的迁移可能是致命的。接受内固定针治疗的患者应定期随访,直至取出内固定线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/10976823/3266bb571423/13256_2024_4369_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/10976823/83ced1695eb4/13256_2024_4369_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/10976823/bd34eafab11f/13256_2024_4369_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/10976823/3266bb571423/13256_2024_4369_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/10976823/83ced1695eb4/13256_2024_4369_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/10976823/bd34eafab11f/13256_2024_4369_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/10976823/3266bb571423/13256_2024_4369_Fig3_HTML.jpg

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J Thorac Dis. 2024 Nov 30;16(11):8068-8087. doi: 10.21037/jtd-24-943. Epub 2024 Nov 29.

本文引用的文献

1
Early asymptomatic intrathoracic migration of a threaded pin after proximal humeral osteosynthesis.肱骨近端骨合成术后螺纹针早期无症状性胸内移位。
Int J Shoulder Surg. 2016 Jan-Mar;10(1):41-3. doi: 10.4103/0973-6042.174520.
2
Migration of a Kirschner pin from the shoulder to the lung, requiring surgery.一枚克氏针从肩部移至肺部,需进行手术。
Asian Cardiovasc Thorac Ann. 2013 Apr;21(2):222-3. doi: 10.1177/0218492312450021.
3
Migration of a Kirschner wire from the clavicle into the intrathoracic trachea.一根克氏针从锁骨迁移至胸内气管。
Ann Thorac Surg. 2009 Aug;88(2):653-4. doi: 10.1016/j.athoracsur.2008.12.093.
4
Kirschner wire migration causing spinal cord injury one year after internal fixation of a clavicle fracture.锁骨骨折内固定术后一年,克氏针移位导致脊髓损伤。
Acta Orthop Belg. 2007 Jun;73(3):390-2.
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Early intrathoracic migration of Kirschner wires used for percutaneous osteosynthesis of a two-part humeral neck fracture: a case report.用于两部分型肱骨干骨折经皮骨固定的克氏针早期胸腔内移位:1例报告
Emerg Radiol. 2004 Aug;11(1):49-52. doi: 10.1007/s10140-004-0361-4. Epub 2004 Jul 6.
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Intrathoracic migration of a Kirschner wire.克氏针的胸腔内移位
J R Soc Med. 2002 Apr;95(4):198-9. doi: 10.1177/014107680209500409.
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Removal of an intrathoracic migrated fixation pin by thoracoscopy.通过胸腔镜取出胸腔内移位的固定针。
Ann Thorac Surg. 2001 Jan;71(1):368-70. doi: 10.1016/s0003-4975(00)01722-7.
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Intrathoracic migration of Kirschner pins.克氏针的胸腔内移位
Ann Thorac Surg. 2000 Jun;69(6):1953-5. doi: 10.1016/s0003-4975(00)01198-x.
9
Migration of Kirschner's pin from the right sternoclavicular joint resulting in perforation of the pulmonary artery main trunk.克氏针从右胸锁关节移位,导致肺动脉主干穿孔。
Acta Chir Belg. 1993 Nov-Dec;93(6):287-91.
10
Migration of Kirschner pin from clavicle into ascending aorta.克氏针从锁骨迁移至升主动脉。
Acta Chir Scand. 1985;151(2):177-9.