Broken guidewire retrieval from the hip joint: A case report

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.

A novel technique for the removal of retained Kirschner wires utilizing a cannulated drill bit

“…used a 3.5 mm cannulated screw for retrieval of a broken 1.25 mm guide pin within the second metatarsal bone 8 . These previously published reports focus on retrieval of broken guide wires at the time of intraoperative fixation 9,10 . Our technique, however, demonstrates success in the setting of k-wires retained in bone for several decades.…”

Retrieval of broken intra-medullary guide wire in femoral shaft fracture: A case report and surgical technique

“…There are multiple reported cases of guide wire breaking in locations like femoral neck and their retrieval techniques [ 1 , 2 ]. These can be removed using pituitary forceps, over-reaming open procedures or arthroscopy assisted [ 2 , 5 ].…”

“…There are multiple reported cases of guide wire breaking in locations like femoral neck and their retrieval techniques [ 1 , 2 ]. These can be removed using pituitary forceps, over-reaming open procedures or arthroscopy assisted [ 2 , 5 ]. However, an intramedullary broken or stuck implant is a different case scenario which inadvertently requires its removal.…”

“…Broken Hardware removal is a nightmare during surgery for any orthopedic surgeon. There are multiple reported instances of broken instrument or implants which needed some expertise for removal [ [1] , [2] , [3] , [4] , [5] , [6] ]. Hardware in soft tissue can be easily retrieved, however the scenario is different when it is embedded in the bone, especially if it is intramedullary.…”

Association between General Anesthesia and the Occurrence of Cerebrovascular Accidents in Hip Fracture Patients

“…The study met the principles in the World Medical Association Declaration of Helsinki [ 13 ] and was approved by the review committee of the hospital ethics review organization. After recruitment, the study team explained the study purpose, meaning, content, and confidentiality to the patients and asked the patients to sign informed consent.…”