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Removing a broken guidewire in the hip joint: treatment options and recommendations for preventing an avoidable
Abhijeet Ashok Salunke1, Prem Haridas Menon2, Gurunathampalayam Ilango Nambi3
1Department of Orthopedics, Pramukswami Medical College, Karamsad, Gujarat, India.
Insights
Hardware breakage during hip surgery presents surgical challenges. This case report details successful retrieval of broken guidewire and implant, offering prevention strategies.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Hip surgery hardware breakage is a significant complication for orthopedic surgeons.
- Potential complications include adjacent joint arthritis and neurovascular damage.
- Proper patient informed consent and documentation are crucial.
Observation:
- A case of hip surgery involving complete implant removal and broken guidewire retrieval is presented.
- A combination of surgical techniques was employed for hardware removal.
Findings:
- Successful retrieval of broken guidewire and implant was achieved.
- Specific instruments like cannulated drill bits, pituitary forceps, and Kerrison rongeurs were utilized.
Implications:
- The study suggests treatment options for hardware retrieval complications.
- Recommendations are provided to prevent similar surgical incidents.
- Informing patients and implant companies about complications is essential.
Context:
Hardware breakage during hip surgery can pose challenging and difficult problems for orthopedic surgeons. Apart from technical difficulties relating to retrieval of the broken hardware, complications such as adjacent joint arthritis and damage to neurovascular structures and major viscera can occur. Complications occurring during the perioperative period must be informed to the patient and proper documentation is essential. The treatment options must be discussed with the patient and relatives and the implant company must be informed about this untoward incident.
Case Report:
We report a case of complete removal of the implant and then removal of the broken guidewire using a combination of techniques, including a cannulated drill bit, pituitary forceps and Kerrison rongeur.
Conclusions:
We suggest some treatment options and recommendations for preventing an avoidable surgical catastrophe.
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