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Third-degree burn from a grounding pad during arthroscopy.

Samuel M Sanders¹, Stephanie Krowka, Andrew Giacobbe

¹University of Buffalo Sports Medicine, University of Buffalo, Buffalo, New York, USA.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association

|October 6, 2009

Summary

A rare third-degree burn occurred at the grounding pad site during shoulder arthroscopy. This case report highlights a potential complication of electrocautery/grounding pad systems in arthroscopic surgery.

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Area of Science:

Surgical Safety
Medical Device Complications
Orthopedic Surgery

Background:

Electrocautery devices are commonly used in arthroscopic procedures.
Grounding pads are essential for patient safety during electrocautery use.
Potential complications associated with electrocautery systems require ongoing vigilance.

Observation:

A 59-year-old woman developed a third-degree burn at the grounding pad site during shoulder arthroscopy.
The burn occurred despite the proper functioning of the electrocautery/grounding pad system.
This represents a rare but serious adverse event during a routine orthopedic procedure.

Findings:

The case details the presentation, evaluation, and treatment of the grounding pad burn.
Analysis of the electrocautery/grounding pad system's function and potential failure modes is provided.
This is believed to be the first reported instance of a grounding pad burn during arthroscopy.

Implications:

Surgeons should be aware of the risk of grounding pad burns during arthroscopic procedures.
Understanding the mechanism of these burns can inform preventative strategies.
This case underscores the importance of meticulous technique and device management in arthroscopic surgery.