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EndoButton drill bit failure.

Mark D Miller1

  • 1Department of Orthopaedic Surgery, The University of Virginia, Charlottesville, Virginia, USA. mdm3p@virginia.edu

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|March 6, 2002
PubMed
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Endobutton drill bit failure can occur during anterior cruciate ligament reconstruction. This complication, often due to single-use bit overuse, may impact graft passage and surgical outcomes.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Anterior cruciate ligament (ACL) reconstruction is a common orthopedic procedure.
  • The semitendinosus gracilis autograft is frequently used for ACL reconstruction.
  • The Endobutton device is a popular fixation method in ACL surgery.

Observation:

  • A case of Endobutton drill bit failure during ACL reconstruction is reported.
  • The drill bit's distal flutes sheared off before graft passage.
  • The failed drill bit was noted to be intended for single use only.

Findings:

  • The drill bit failure was likely caused by repeated use of a single-use instrument.
  • This mechanical failure presents a risk during the critical graft passage phase.
  • The incident underscores the importance of adhering to manufacturer guidelines for surgical instruments.

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Implications:

  • Potential for intraoperative complications during ACL reconstruction.
  • Need for vigilance regarding instrument integrity and usage protocols.
  • Highlights a previously unreported pitfall in ACL reconstruction techniques.