Global Journal of Surgery
ISSN (Print): 2379-8742 ISSN (Online): 2379-8750 Website: Editor-in-chief: Baki Topal
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Global Journal of Surgery. 2013, 1(3), 19-21
DOI: 10.12691/js-1-3-3
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Migration of A K Wire in A Pediatric Floating Elbow Managed by Percutaneous Pinning-A Case Report

Imtiaz Hussain Dar1, Mohammad Moosa1, and Nasir Muzaffar1

1Department of Orthopaedics, Hospital for Bone and Joint Surgery, Srinagar, Kashmir, India

Pub. Date: June 28, 2013

Cite this paper:
Imtiaz Hussain Dar, Mohammad Moosa and Nasir Muzaffar. Migration of A K Wire in A Pediatric Floating Elbow Managed by Percutaneous Pinning-A Case Report. Global Journal of Surgery. 2013; 1(3):19-21. doi: 10.12691/js-1-3-3


Simultaneous ipsilateral fracture of the elbow and forearm is an uncommon injury. In such injuries, the elbow is effectively dissociated from the rest of the limb. Hence this injury is also called ‘the floating elbow’. It is an indicator of a high energy injury and requires aggressive operative management. We present a unique case of a pediatric floating elbow in a nine year old boy. The supracondylar fracture was reduced under general anesthesia and fixed by percutaneous pinning with two crossed Kirshner (K) wires and the forearm fracture post reduction was managed conservatively by a Plaster of Paris long arm back slab. At 4 weeks post op, the slab was removed but only the lateral K wire could be visualized and removed. The child subsequently complained of pain in the upper arm and a prickly feeling in the skin. On examination, a sharp tip could be palpated in the upper arm and radiographs confirmed that the medial K wire had migrated into the upper arm. The K wire was removed under anesthesia and the patient started on range of motion exercises. He made an uneventful recovery with no residual side effects.

floating elbow percutaneous pinning K wire migration

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