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Related Experiment Videos

Intra-articular foreign body after arthroscopy.

Martin Oldenburg1, Reinhold Traugott Mueller

  • 1Klinik fuer Orthopaedie, Universitaetsklinikum Essen, Essen, Germany. martin.oldenburg@uni-essen.de

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|November 11, 2003
PubMed
Summary

A small metal piece detached from an arthroscopic tool and stayed in a knee for 14 months, causing pain. Surgeons must carefully inspect instruments post-surgery to prevent undetected foreign body introduction into joints.

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Area of Science:

  • Orthopedic Surgery
  • Medical Device Safety

Background:

  • Arthroscopy is a common minimally invasive surgical procedure for knee joint examination and treatment.
  • Ensuring the integrity of surgical instruments is crucial for patient safety during arthroscopic procedures.

Observation:

  • A case is presented where a small metal fragment detached from an arthroscopic instrument during surgery.
  • The fragment remained undetected within the knee joint for an extended period of 14 months.

Findings:

  • The retained foreign body caused recurrent knee swelling and pain.
  • The detachment was not immediately apparent, and the arthroscopic instrument remained functional, highlighting a potential diagnostic challenge.

Implications:

  • This case underscores the critical importance of meticulous post-operative inspection of arthroscopic instruments to prevent iatrogenic foreign body retention.

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  • Highlights the need for enhanced vigilance in surgical instrument safety protocols to avoid intra-articular complications.