{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T20:56:32Z","timestamp":1648673792610},"reference-count":20,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. K-wires are thought to be extremely safe implants and complications as a result of direct insertion or migration are very rare. Complications may be life-threatening in some instances where migration results in injury to vital organs. We report one such case where antegrade migration of K-wire from the hip resulted in injury to external iliac artery and formation of external iliac artery-appendicular fistula. No such complication due to migration has ever been reported in the literature.<jats:italic>Case Description<\/jats:italic>. A 15-year-old boy presented with lower abdominal pain, right lower limb swelling and pain, inability to walk, and rectal bleeding for 1 month after 2 K-wires had been inserted in his right hip joint for treatment of slipped capital femoral epiphysis the previous year. On investigation, he was diagnosed to have external iliac artery-appendicular fistula for which he was surgically treated.<jats:italic>Clinical Relevance<\/jats:italic>. Antegrade migration of K-wire from hip joint may lead to life-threatening injuries which can be minimized by bending the end of the K-wire, keeping the tip protruding outside the skin wherever possible and by early removal of K-wire once its purpose has been achieved.<\/jats:p>","DOI":"10.1155\/2015\/207078","type":"journal-article","created":{"date-parts":[[2015,6,4]],"date-time":"2015-06-04T08:34:27Z","timestamp":1433406867000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication"],"prefix":"10.1155","volume":"2015","author":[{"given":"Nagmani","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Grande International Hospital, Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chakra Raj","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Grande International Hospital, Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhaskar Raj","family":"Pant","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Grande International Hospital, Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uttam Krishna","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Grande International Hospital, Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biraj","family":"Bista","sequence":"additional","affiliation":[{"name":"Department of Radiology, Grande International Hospital, Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"1","key":"1","first-page":"1","volume":"76","year":"2010","journal-title":"Acta Orthopaedica Belgica"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/bf02763056"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/paf.0b013e31806195a1"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2005.09.014"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.115.1.291"},{"key":"6","first-page":"477","volume":"25-a","year":"1943","journal-title":"Journal of Bone and Joint Surgery"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-004-0361-4"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.4.1285"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.12.093"},{"issue":"5","key":"10","first-page":"313","volume":"11","year":"2005","journal-title":"Annals of Thoracic and Cardiovascular Surgery"},{"issue":"3","key":"11","first-page":"111","volume":"57","year":"2003","journal-title":"Indian Journal of Medical Sciences"},{"issue":"2","key":"12","first-page":"326","volume":"70","year":"1988","journal-title":"The Journal of Bone and Joint Surgery\u2014British Volume"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s101430100186"},{"issue":"12","key":"14","first-page":"1244","volume":"31","year":"2008","journal-title":"Orthopedics"},{"issue":"4","key":"15","first-page":"359","volume":"24","year":"1997","journal-title":"Texas Heart Institute Journal"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-198909000-00012"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-006-0139-4"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/s0266-7681(97)80412-3"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199301000-00031"},{"issue":"6","key":"20","first-page":"287","volume":"93","year":"1993","journal-title":"Acta Chirurgica Belgica"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2015\/207078.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2015\/207078.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2015\/207078.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T14:35:05Z","timestamp":1469630105000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crior\/2015\/207078\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":20,"alternative-id":["207078","207078"],"URL":"https:\/\/doi.org\/10.1155\/2015\/207078","relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}