{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T12:14:53Z","timestamp":1763727293641},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>O uso dos fios met\u00e1licos, denominados fios de Kirschner, \u00e9 um m\u00e9todo de fixa\u00e7\u00e3o simples e eficaz para a corre\u00e7\u00e3o de fraturas e luxa\u00e7\u00f5es do ombro na cirurgia ortop\u00e9dica. Uma das poss\u00edveis complica\u00e7\u00f5es \u00e9 a migra\u00e7\u00e3o do fio durante o acompanhamento p\u00f3s-operat\u00f3rio. Os autores apresentam um caso de um paciente masculino de 48 anos, administrador, que sofreu uma queda de mesmo n\u00edvel com trauma em ombro direito durante uma partida de futebol. Atendido em um hospital de refer\u00eancia de ortopedia e traumatologia, foi diagnosticada luxa\u00e7\u00e3o acromioclavicular grau V. Quatro dias ap\u00f3s o trauma, fez-se o tratamento cir\u00fargico da luxa\u00e7\u00e3o acromioclavicular com amarrilhos com fios de \u00e2ncora, transfer\u00eancia do ligamento coracoacromial e fixa\u00e7\u00e3o com fio de Kirchner do acr\u00f4mio \u00e0 clav\u00edcula. No retorno, 12 dias ap\u00f3s o procedimento cir\u00fargico, identificou-se a migra\u00e7\u00e3o do fio de Kirschner do bordo do acr\u00f4mio. Apesar de orientado a se submeter a cirurgia para remo\u00e7\u00e3o do fio, o paciente se recusou. Nove meses ap\u00f3s o tratamento cir\u00fargico, o paciente apresentou dores no ombro esquerdo (lado contralateral), dificuldade para mobilizar o ombro, equimose e sali\u00eancia. Foram feitas radiografias bilaterais e foi constatado que o fio de Kirschner, originalmente no ombro direito, estava no ombro contralateral. Fez-se ent\u00e3o cirurgia para remo\u00e7\u00e3o do implante, com sucesso.<\/jats:p>","DOI":"10.1016\/j.rbo.2017.09.017","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T14:06:55Z","timestamp":1518444415000},"page":"202-205","source":"Crossref","is-referenced-by-count":4,"title":["Migra\u00e7\u00e3o do fio de Kirschner ap\u00f3s o tratamento da luxa\u00e7\u00e3o acromioclavicular para o ombro contralateral \u2013 relato de caso"],"prefix":"10.1055","volume":"54","author":[{"given":"Fabiano","family":"Palauro","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Universidade Federal do Paran\u00e1 (UFPR), Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme","family":"Stirma","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Universidade Federal do Paran\u00e1 (UFPR), Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Secundino","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Universidade Federal do Paran\u00e1 (UFPR), Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Riffel","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Universidade Federal do Paran\u00e1 (UFPR), Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipe","family":"Baracho","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Universidade Federal do Paran\u00e1 (UFPR), Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Dau","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Universidade Federal do Paran\u00e1 (UFPR), Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,4,15]]},"reference":[{"issue":"21","key":"10.1016\/j.rbo.2017.09.017_bib0050","doi-asserted-by":"crossref","first-page":"e3741","DOI":"10.1097\/MD.0000000000003741","article-title":"Death due to intra\u2010aortic migration of Kirschner wire from the clavicle: a case report and review of the literature","volume":"95","author":"Tan","year":"2016","journal-title":"Medicine (Baltimore)."},{"issue":"8","key":"10.1016\/j.rbo.2017.09.017_bib0055","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.2106\/00004623-199072080-00023","article-title":"Migration of pins used in operations on the shoulder","volume":"72","author":"Lyons","year":"1990","journal-title":"J Bone Joint Surg Am."},{"key":"10.1016\/j.rbo.2017.09.017_bib0060","first-page":"6804670","article-title":"Migration of a broken Kirschner wire after surgical treatment of acromioclavicular joint dislocation","volume":"2016","author":"Bat\u0131n","year":"2016","journal-title":"Case Rep Surg."},{"issue":"3","key":"10.1016\/j.rbo.2017.09.017_bib0065","first-page":"390","article-title":"Kirschner wire migration causing spinal cord injury one year after internal fixation of a clavicle fracture","volume":"73","author":"Fransen","year":"2007","journal-title":"Acta Orthop Belg."},{"issue":"10","key":"10.1016\/j.rbo.2017.09.017_bib0070","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.1001\/jama.1969.03150230131030","article-title":"Migration of Steinmann pin from shoulder to lung","volume":"207","author":"McCaughan","year":"1969","journal-title":"JAMA."},{"issue":"2","key":"10.1016\/j.rbo.2017.09.017_bib0075","first-page":"477","article-title":"Migration of a Kirschner wire from the shoulder region into the lung: report of two cases","volume":"25","author":"Mazet","year":"1943","journal-title":"J Bone Joint Surg."},{"issue":"1","key":"10.1016\/j.rbo.2017.09.017_bib0080","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.otsr.2011.09.015","article-title":"Endopelvic migration of a sternoclavicular K\u2010wire. 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