Intratracheal migration of two Kirschner wires after surgery for a clavicle fracture

Asian Cardiovasc Thorac Ann. 2021 Jun;29(5):428-430. doi: 10.1177/0218492320987933. Epub 2021 Jan 7.

Abstract

Kirschner wire is frequently used in orthopedic surgery, and migration is not exceptional. Intrathoracic migration is well-known, especially after surgery on the shoulder girdle, however, intratracheal migration is extremely rare. We describe a case of intratracheal migration of two Kirschner wires in a 41-year-old man who had them placed two years previously for a right clavicle fracture. He experienced chest pain followed by hemoptysis. Thoracic computed tomography revealed intratracheal migration. Remove of the Kirschner wires was performed by a cervical-sternotomy approach. Prompt removal of migrated Kirschner wires must be carried out urgently to avoid fatal complications.

Keywords: Bone wires; clavicle; device removal; foreign-body migration; orthopedic procedures; thorax.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Wires / adverse effects
  • Clavicle / diagnostic imaging
  • Clavicle / surgery
  • Foreign-Body Migration* / diagnostic imaging
  • Foreign-Body Migration* / etiology
  • Foreign-Body Migration* / surgery
  • Fracture Fixation, Internal
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / etiology
  • Fractures, Bone* / surgery
  • Humans
  • Male