Use of high-speed burr and water-based lubricant in the partial removal of surgical plates: A technique Guide

Abstract

Implant removal comprises 5% of all orthopaedic surgery procedures performed annually. Surgical indications range from implant failure, infection, non-union, and symptomatic hardware. Intraoperatively, surgeons need to prepare for complications including bony overgrowth, cold-welding, broken screws, and stripped screw heads. Large anatomic dissections required for complete hardware removal place the patient at increased risk of complications due to increased operating time and larger dissections. The authors present a safe and effective technique for the partial removal of surgical implants. The technique utilizes a high-speed burr to cut surgical plates, minimizing the total dissection and operative time. Sterile surgical laps covered in water-based lubricant capture metal debris to reduce tissue contamination as well as surgeon exposure to metal particles.

What a Ratchet! A Gripping Case Report of an Entrapped Finger with an Unyielding Wrench

“… 2 A helicoidal rasp, often used to cut and remove orthopedic hardware, is likely available within most orthopedic departments. 10 In comparison with standard dental burs, helicoidal rasps exhibit a greater kerf and surface area, generating a wider slit in the ring and effectively removing more metal. Moreover, when combined with extensive drip irrigation, this method may allow for greater dissipation of heat.…”