Arch Hand Microsurg.  2021 Sep;26(3):171-173. 10.12790/ahm.21.0114.

Broken Kirschner Wire in Distal Interphalangeal Joint Fixation: A Case Report

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea

Abstract

Kirschner wire (K-wire) has been widely used for treatment of fracture for its cost-effectiveness and reliability. This case presents the K-wire breakage in distal interphalangeal joint (DIPJ) fixation. A 55-year-old male patient was injured by a knife and showed rupture of extensor tendon at 1/2 of middle phalanx. A 0.9-mm K-wire was implemented for DIPJ extension, and tenorrhaphy was done. After 6 weeks, we detected breakage of K-wire in the follow-up X-ray. The broken K-wire in the distal phalanx was removed. We removed the remaining K-wire through an incision on volar side of middle phalanx under C-arm after 2 weeks for the patient’s personal reasons. Breakage during postoperative K-wire maintenance is exceedingly rare. This patient is presumed to have ruptured because he continued using his finger. Therefore, while K-wire is present, continued use of finger without protection may cause breakage, so protective measures such as splint are required.

Keyword

Bone wires; Equipment failure; Fingers

Figure

  • Fig. 1. (A) 55-years-old male patient presented distal interphalangeal joint subluxation and rupture of extensor digitorum. (B) Single Kirschner wire fixation and extensor tenorrhaphy.

  • Fig. 2. (A) Broken Kirschner wire (K-wire) found on 6-week postoperative X-ray. (B) Removal of distal part of K-wire at outpatient department.

  • Fig. 3. Removal of retained proximal part of Kirschner wire at operation room.


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