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Case Reports
. 2021 Jul 21:35:100512.
doi: 10.1016/j.tcr.2021.100512. eCollection 2021 Oct.

Broken guidewire retrieval from the hip joint: A case report

Mohanrao Garabadi  1 , Shaun O'Brien  1
Affiliations
Case Reports

Broken guidewire retrieval from the hip joint: A case report

Mohanrao Garabadi et al. Trauma Case Rep. .

Erratum in

Abstract

Hardware breakage during orthopaedic surgery especially closed intramedullary nailing is a nightmare for orthopaedic surgeons. During hip fracture surgery a mechanical failure of the guidewire or the reamer poses an additional risk of intrapelvic migration and neurovascular or visceral injury which can lead to devastating complications and litigation. We report a case of removal of the broken guidewire using a cannulated reamer & discectomy forceps and recommend some suggestions for prevention of this catastrophe.

Keywords: Breakage; Guide wire failure; Nailing; PFNA; Reamer.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Over-reaming around broken Guide wire tip.
Fig. 2
Fig. 2
Using a discectomy forceps to grasp the broken tip of the wire.
Fig. 3
Fig. 3
Successful retrieval of broken tip of guide wire.
See this image and copyright information in PMC

References

    1. Brodell J.D., Leve A.R. Disengagement and intrapelvic protrusion of the screw from a sliding screw-plate device. A case report. J. Bone Joint Surg. Am. 1983;65(5):697–701. - PubMed
    1. Mishra P., Jain P., Aggarwal A. Intrapelvic protrusion of guide wire during fixation of fracture neck of femur. Injury. 2002;33(9):839–841. - PubMed
    1. Kyriakidis A.V., Papanikolaou S., Perysinakis I. Intraabdominal injuries caused by migration of guide wire after intramedullary osteosynthesis in intertrochanteric hip fracture. Hell. J. Surg. 2010;82(6):397–400. December.
    1. Koval K.J., Zuckerman J.D. 1st ed. Springer; New York, NY: 2000. Hip Fractures: A Practical Guide to Management.
    1. Salunke Abhijeet Ashok, Menon Prem Haridas. Removing a broken guidewire in the hip joint: treatment options and recommendations for preventing an avoidable surgical catastrophe. A case report. Sao Paulo Med. J. 2015;133(6):531–534. - PMC - PubMed

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