Published: 2015-04-05

K wire: a lethal implant

Ganesan Ganesan Ram, Phagal Varthi Vijayaraghavan


Pins used to stabilize the acromioclavicular joint have a colourful, interesting history of migrating into remote, life threatening locations such as lungs, spinal cord, the neck, posterior to the carotid sheath and the pleura or close to it. 35 year male 3 year post op K wire fixation acromioclavicular joint came with history of pain in neck was diagnosed with broken K wire in neck. Even though K wire fixation and tension band wiring is one of the modes of treating acromioclavicular dislocation K wire fixation should be kept as the last resort while planning the treatment. Complications of K wire migration can be lethal. Hence K wiring in acromioclavicular joint should be done with utmost caution. 

Keywords: K wire, Acromioclavicular dislocation, Tension band wiring

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