We report the clinical case of a clinical case of a 50-year-old woman who had a very rare complication related to the insertion of Kirschner wires for fixation of a left humerus fracture. Sixteen years after the placement of the Kirschner wires, a routine chest X-ray revealed that one of the Kirschner wires had migrated through the pleural cavity. Chest computed tomographic scans confirmed the presence of a metallic wire inside the left lung parenchyma, adjacent to the superior pulmonary artery. This particular case was managed through a video-assisted thoracoscopic approach, and the wire was easily removed from the pleural cavity, thereby avoiding the need of a thoracotomy.
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J Am Podiatr Med Assoc
January 2025
‡Canakkale Onsekiz Mart University Medical Faculty, Department of Orthopedics and Traumatology, Çanakkale, Turkey.
Background: The aim of study was to biomechanically compare the fixation of Jones fracture using headless cannulated screw, tension band, and two Kirschner wires.
Methods: A total of 60 fourth-generation, fifth metatarsal synthetic bone models were divided into three groups according to the fixation techniques. A vertical load, oriented from plantar to dorsal and lateral to medial, was applied to the metatarsal specimen that were potted with molding material.
J Med Case Rep
January 2025
Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Management of the extensive soft tissue injuries remains a significant challenge in orthopedic and plastic reconstructive surgery. Since the thumb is responsible for 40% of the functions of the hand, saving and reconstructing a mangled thumb is essential for the patient's future.
Case Presentation: This case report describes the management of a severe occupational thumb injury in a 25-year-old white Persian male who sustained an occupational injury to his left thumb, resulting in extensive burn, crush injury to the distal and proximal phalanx, and severe soft tissue damage to the first metacarpal, thenar, and palmar areas.
Medicina (Kaunas)
January 2025
Department of Orthopedics and Traumatology, Karabük University, Karabük 78050, Turkey.
The study aimed to evaluate a newly designed semicircular implant for the fixation of Vancouver Type B1 periprosthetic femoral fractures (PFFs) in total hip arthroplasty (THA) patients. To determine its strength and clinical applicability, the new implant was compared biomechanically with conventional fixation methods, such as lateral locking plate fixation and a plate combined with cerclage wires. : Fifteen synthetic femur models were used in this biomechanical study.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
January 2025
Ankara Etlik City Hospital, Ankara, Turkey.
Background: Cementless hip hemiarthroplasty is one of the options for the treatment of osteoporotic femoral neck fractures. Intraoperative periprosthetic femoral calcar fractures sometimes occur during the surgery, and the use of cerclage wiring to maintain the position and stability of the femoral stem and prevent the progression of the fracture. This study examines the outcomes of cerclage wiring to treat intraoperative periprosthetic calcar fractures in cementless hip hemiarthroplasty in osteoporotic femoral neck fractures.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
January 2025
Chirurgie de la main, du poignet et du coude, Hôpital Privé Saint Roch, Toulon, France.
We compared the outcomes of two groups of patients with scaphoid nonunion treated with arthroscopic cancellous bone grafting. In group 1, K-wires were introduced beforehand and in group 2 after debridement and packing bone grafts in the nonunion site. Our hypothesis was that the percentage of unions would be higher in group 2.
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