A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

Tension band wiring (TBW) is one of the most commonly used fixation techniques to fix olecranon osteotomies. Hardware prominence has been the most commonly reported complication of TBW. However, distal migration of Kirschner (K)-wire after TBW fixation for olecranon osteotomy has not been reported....

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Bibliographic Details
Published in:Joint diseases and related surgery 2024-04, Vol.35 (2), p.439-442
Main Authors: Köroğlu, Muhammed, Karakaplan, Mustafa, Ergen, Emre, Eren, Mehmet, Alyousef, Abdulkarim, Özdeş, Hüseyin Utku, Aslantürk, Okan
Format: Article
Language:English
Subjects:
Bone Wires - adverse effects
Case Report
Device Removal - methods
Elbow Joint - diagnostic imaging
Elbow Joint - surgery
Foreign-Body Migration - diagnostic imaging
Foreign-Body Migration - etiology
Foreign-Body Migration - surgery
Fracture Fixation, Internal - adverse effects
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Humans
Humeral Fractures - diagnostic imaging
Humeral Fractures - surgery
Intra-Articular Fractures - diagnostic imaging
Intra-Articular Fractures - surgery
Male
Middle Aged
Olecranon Process - diagnostic imaging
Olecranon Process - injuries
Olecranon Process - surgery
Osteotomy - adverse effects
Osteotomy - instrumentation
Osteotomy - methods
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Summary:Tension band wiring (TBW) is one of the most commonly used fixation techniques to fix olecranon osteotomies. Hardware prominence has been the most commonly reported complication of TBW. However, distal migration of Kirschner (K)-wire after TBW fixation for olecranon osteotomy has not been reported. In this case report, we presented distal migration of K-wire detected nine months after initial surgery in a 46-year-old male patient. The patient was operated on for an intraarticular distal humerus fracture using an olecranon osteotomy. The osteotomy was fixed with TBW fixation. The patient missed routine follow-ups and presented to the outpatient clinic with a complaint of skin irritation at the elbow nine months after the surgery. On radiological examination, distal migration of one K-wire was detected. The K-wire was surgically removed without any complication. Physicians should be aware of possible complications of TBW and remove fixation after fracture union to avoid unexpected complications.
ISSN:2687-4784
2687-4792
2687-4792
DOI:10.52312/jdrs.2024.1662