IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-1-17595 Original Research Paper Migrated k wire into popliteal fossa from tension band wiring of patella: a case report Kansay Dr. Deepinder Singh Dr. Ashwani Soni Dr. January 2019 8 1 01 02 ABSTRACT

 

Despite being extensively used, k wires have their own set of complications, with loosening and breakage of these wires being the most significant one of them. We report a case of patella fracture treated with tension band wiring (TBW). After achieving fracture union, patient was lost to follow up. He reported four years later with a broken k–wire which had migrated posteriorly into the popliteal fossa and had to be removed as it was causing symptoms to the patient. We recommend following certain steps to prevent the occurrence of such a complication: following AO principles of fracture fixation, encouraging hardware removal after union of fracture wherever possible, close clinical and radiological follow up to detect the movement, breakage and migration of wires at the earliest and removal of migrated wires on priority basis, irrespective of patient being symptomatic or asymptomatic.