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Related Experiment Videos

X-Bolt unforeseen placement complication: case report.

A D Clarke1, Jbt Herron1, J L McVie1

  • 1Trauma and Orthopaedics, James Cook University Hospital, South Tees Hospitals NHS Foundation Trust , Middlesbrough , UK.

Annals of the Royal College of Surgeons of England
|October 13, 2017
PubMed
Summary
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A new X-Bolt implant for hip fractures has a potential complication: its wings may penetrate the femoral neck. This requires corrective surgical steps during fixation of pertrochanteric neck of femur fractures.

Area of Science:

  • Orthopedic surgery
  • Trauma surgery
  • Biomedical engineering

Background:

  • Pertrochanteric neck of femur fractures are common injuries.
  • The World Hip Trauma Evaluation Four trial compares the X-Bolt implant to the sliding hip screw.
  • Optimizing fracture fixation is crucial for patient outcomes.

Observation:

  • A novel complication during X-Bolt insertion was observed.
  • Expandable wings of the X-Bolt prosthesis penetrated the femoral neck.
  • This occurred due to misplacement of the bone crusher or implant.

Findings:

  • The complication involves unintended penetration of the femoral neck by the X-Bolt's expandable wings.
  • Misplacement of surgical tools or the implant itself can lead to this issue.
Keywords:
X-bolt

Related Experiment Videos

  • This previously undescribed complication necessitates corrective intraoperative measures.

    • Implications:

    • Surgeons must be aware of this potential complication when using the X-Bolt.
    • Careful placement of the bone crusher and X-Bolt prosthesis is essential.
    • Further refinement of surgical techniques or implant design may be needed to prevent this complication.