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CASE REPORT
Year : 2021  |  Volume : 36  |  Issue : 2  |  Page : 38-40

Retrieval of broken guide wire in femoral neck: A novel surgical technique


1 Department of Orthopedics, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
2 Department of Orthopedics, Indraprastha Apollo Hospital, New Delhi, India
3 Department of Orthopaedics, AIIMS, Bhopal, Madhya Pradesh, India

Correspondence Address:
Gautam Chatterji
Senior Resident, Department of Orthopaedics, AIIMS, Bhopal, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jbjd.jbjd_12_21

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Perioperative breakage of implant or instrument in the hip joint is a nightmare for an orthopedic surgeon. Location of the broken metallic part near neurovascular bundle or joint surfaces necessitates its removal. In this article, we report a case of retrieval of broken guide wire from femoral neck during proximal femoral nailing for pertrochanteric fracture by engaging it in rigid cannulated reamer without causing any further iatrogenic injury. This is a novel and simple technique not described previously in literature and has its own unique advantages over other methods. Large core diameter of rigid cannulated reamer engages broken guide wire easily, is better than any other cannulated instrument, and can be a simple solution to a difficult problem. Regular checking and replacement of used instruments along with cautious use may prevent iatrogenic complications of instruments and implant breakage. However, if the situation arises, the surgeon must be familiar with all the techniques of removal of broken instruments and should choose the technique which is more convenient and less traumatic.


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