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. 2002;26(3):185-7.
doi: 10.1007/s00264-002-0344-6. Epub 2002 Mar 26.

The rate of instrument breakage during orthopaedic procedures

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The rate of instrument breakage during orthopaedic procedures

M V Price et al. Int Orthop. 2002.

Abstract

The current study investigates instrument breakages during both emergency and elective orthopaedic surgery. Over a 2 year period a total of 7,775 procedures were performed. We found that 14 instruments were broken during 12 operative cases. Drill bits accounted for the largest proportion of breakages (11/14), and a specialist registrar was the lead surgeon in the majority (8/12) of cases. Only one case had a consultant as the lead surgeon. In seven cases the broken bit of the surgical instrument was left in the patient. Documentation of this peri-operative complication was deficient, and the patient was often not informed.

Cette étude enquête sur les ruptures d'instrument pendant les opérations de chirurgie orthopédique urgentes ou programmées. Sur une période de deux années un total de 7775 interventions a été exécuté. Nous avons noté que 14 instruments ont été cassés pendant 12 opérations. Les éléments de la perceuse comptent la plus grande proportion de ruptures (11/14) et un chirurgien confirmé était le chef d'équipe dans la majorité (8/12) de cas. Dans 7 cas le morceau cassé de l'instrument a été laissé dans le malade. La documentation de cette complication opératoire était défectueuse et souvent le malade n'était pas informé.

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