Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture
Tension band wiring with cerclage wiring is most widely used for treating displaced patellar fractures. Although wire breakage is not uncommon, migration of a fragment of the broken wire is rare, especially migration into the knee joint. We describe here a rare case of migration of a wire fragment i...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/827140 |
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| author | Yasuaki Tamaki Takashi Nakayama Kenichiro Kita Katsutosi Miyatake Yoshiteru Kawasaki Koji Fujii Yoshitsugu Takeda |
| author_facet | Yasuaki Tamaki Takashi Nakayama Kenichiro Kita Katsutosi Miyatake Yoshiteru Kawasaki Koji Fujii Yoshitsugu Takeda |
| author_sort | Yasuaki Tamaki |
| collection | DOAJ |
| description | Tension band wiring with cerclage wiring is most widely used for treating displaced patellar fractures. Although wire breakage is not uncommon, migration of a fragment of the broken wire is rare, especially migration into the knee joint. We describe here a rare case of migration of a wire fragment into the posterior septum of the knee joint after fixation of a displaced patellar fracture with tension band wiring and cerclage wiring. Although it was difficult to determine whether the wire fragment was located within or outside the knee joint from the preoperative plain radiographs or three-dimensional computed tomography (3D CT), we found it arthroscopically through the posterior transseptal portal with assistance of intraoperative fluoroscopy. Surgeons who treat such cases should bear in mind the possibility that wire could be embedded in the posterior septum of the knee joint. |
| format | Article |
| id | doaj-art-67c5aa447559476caaeaefb5bf3d1f72 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-67c5aa447559476caaeaefb5bf3d1f722025-02-03T01:08:56ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/827140827140Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar FractureYasuaki Tamaki0Takashi Nakayama1Kenichiro Kita2Katsutosi Miyatake3Yoshiteru Kawasaki4Koji Fujii5Yoshitsugu Takeda6Department of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, JapanDepartment of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, JapanDepartment of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, JapanDepartment of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, JapanDepartment of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, JapanDepartment of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, JapanDepartment of Orthopedic Surgery, Tokushima Red Cross Hospital, 103 Irinokuchi, Komatsushima-cho, Komatsushima, Tokushima 773-8502, JapanTension band wiring with cerclage wiring is most widely used for treating displaced patellar fractures. Although wire breakage is not uncommon, migration of a fragment of the broken wire is rare, especially migration into the knee joint. We describe here a rare case of migration of a wire fragment into the posterior septum of the knee joint after fixation of a displaced patellar fracture with tension band wiring and cerclage wiring. Although it was difficult to determine whether the wire fragment was located within or outside the knee joint from the preoperative plain radiographs or three-dimensional computed tomography (3D CT), we found it arthroscopically through the posterior transseptal portal with assistance of intraoperative fluoroscopy. Surgeons who treat such cases should bear in mind the possibility that wire could be embedded in the posterior septum of the knee joint.http://dx.doi.org/10.1155/2015/827140 |
| spellingShingle | Yasuaki Tamaki Takashi Nakayama Kenichiro Kita Katsutosi Miyatake Yoshiteru Kawasaki Koji Fujii Yoshitsugu Takeda Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture Case Reports in Orthopedics |
| title | Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture |
| title_full | Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture |
| title_fullStr | Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture |
| title_full_unstemmed | Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture |
| title_short | Arthroscopic Removal of a Wire Fragment from the Posterior Septum of the Knee following Tension Band Wiring of a Patellar Fracture |
| title_sort | arthroscopic removal of a wire fragment from the posterior septum of the knee following tension band wiring of a patellar fracture |
| url | http://dx.doi.org/10.1155/2015/827140 |
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