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International Review of Medical Practice, 2021, XXVII/1: 048-050 Maximize

International Review of Medical Practice, 2021, XXVII/1: 048-050

Title: Symptoms of K-wire migration into the cervical spine after clavicle fracture – a case report 

Authors: Matuszewski P, Wydra T, Dąbrowski P. 

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07-01-2021

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN ENGLISH.

Symptoms of K-wire migration into the cervical spine after clavicle fracture – a case report

Matuszewski P, Wydra T, Dąbrowski P.

Department of Trauma and Orthopedic Surgery, Mazovian Center of Rehabilitation STOCER, Konstancin-Jeziorna, Poland

International Review of Medical Practice, 2021; Vol. 27, No. 1, 048

A Kirschner wire (K-wire) is a sharp stainless steel pin mainly used for the internal fixation of bone fractures. It is versatile and widely accessible, but as with any internal fixation tool there are risks involved with its use. K-wire migrations are rare but can provide a difficult surgical problem.
A case report
. We present a case of a non compliant 49 year old male patient with symptomatic K-wire migration into the cervical spine 3 years after clavicle fracture fixation, which required surgical removal.
Conclusions
. K-wire migrations after fracture fixation are rare, but often provide substantial surgical problems. Presented case shows that K-wires can migrate a considerable distance in the body and cause symptoms far from the previously operated area. In most cases of hardware migration inside the body, surgical treatment is necessary. Diligent follow up after fracture fixation is mandatory and timely hardware removal is strongly encouraged especially in a case of possible patient non compliance.

Key words: cervical spine, Kirschner wire, migration