{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:43:53Z","timestamp":1756385033102,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>We present a case of distal radius fracture. Several sequential unfortunate events resulted in a poor outcome. The patient was poorly selected because the degree of early dementia was not fully appreciated, due to intermittent periods of lucidity. Having elected to treat this distal radius fracture with Kirschner wires, a wire snapped during the procedure and was deemed safe to leave within the medullary cavity. Subsequently, the patient was left in a cast for 4\u2005weeks without regular pin site inspection. When the cast was removed a gross osteomyelitis had developed. This series of events, led to unnecessary morbidity and extended the immobilisation time with reduced wrist function. This case highlights the importance of careful patient selection, surgical tactics and continuity of care.<\/jats:p>","DOI":"10.1136\/bcr-2012-008425","type":"journal-article","created":{"date-parts":[[2013,1,25]],"date-time":"2013-01-25T14:05:42Z","timestamp":1359122742000},"page":"bcr2012008425","source":"Crossref","is-referenced-by-count":0,"title":["Catastrophic osteomyelitis following percutaneous wire fixation of a distal radial fracture: a cautionary tale of poor patient selection followed by surgical mishap"],"prefix":"10.1136","volume":"2013","author":[{"given":"David W","family":"Shields","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Victoria Infirmary, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W","family":"Elson","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Victoria Infirmary, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Marsh","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Victoria Infirmary, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew C","family":"Gray","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Victoria Infirmary, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,1,25]]},"reference":[{"key":"2025082805124175000_2013.jan25_1.bcr2012008425.1","unstructured":"Dismukes RK Berman BA Loukopoulos LD . The limits of expertise: rethinking pilot error and the causes of airline accidents. Aldershot: Ashgate, 2007."},{"key":"2025082805124175000_2013.jan25_1.bcr2012008425.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7237.768"},{"key":"2025082805124175000_2013.jan25_1.bcr2012008425.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(05)80312-6"},{"key":"2025082805124175000_2013.jan25_1.bcr2012008425.4","doi-asserted-by":"crossref","first-page":"2621","DOI":"10.2106\/00004623-200412000-00006","article-title":"Two procedures for Kirschner wire osteosynthesis of distal radial fractures. A randomized trial","volume":"86-A","author":"Strohm","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"2025082805124175000_2013.jan25_1.bcr2012008425.5","first-page":"119","article-title":"Intrafocal wire fixation of wrist fractures. The original Kapandji technique. Course. Review of 400 cases","volume":"120","author":"Nonnenmacher","year":"1994","journal-title":"Chirurgie"},{"key":"2025082805124175000_2013.jan25_1.bcr2012008425.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.15.2.155-166.2002"},{"key":"2025082805124175000_2013.jan25_1.bcr2012008425.7","unstructured":"Moran CG . The patient and the injury: decision making in trauma surgery. In: R\u00fcedi TP Buckley RE Moran CG , eds. AO principles of fracture management. New York: Thieme, 114\u201325."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-008425","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:12:49Z","timestamp":1756383169000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-008425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,25]]},"references-count":7,"alternative-id":["10.1136\/bcr-2012-008425"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-008425","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,1,25]]}}}