髋关节内折断导丝的取出：治疗选择及预防可避免手术灾难的建议。病例报告。
Removing a broken guidewire in the hip joint: treatment options and recommendations for preventing an avoidable surgical catastrophe. A case report.
作者信息
Salunke Abhijeet Ashok, Menon Prem Haridas, Nambi Gurunathampalayam Ilango, Tan Junhao, Patel Vivek, Chen Yongsheng, Kumar Jay
机构信息
Department of Orthopedics, Pramukswami Medical College, Karamsad, Gujarat, India.
Department of Orthopedics, National University Hospital, Singapore.
出版信息
Sao Paulo Med J. 2015 Nov-Dec;133(6):531-4. doi: 10.1590/1516-3180.2014.9061512. Epub 2015 Oct 9.
CONTEXT
Hardware breakage during hip surgery can pose challenging and difficult problems for orthopedic surgeons. Apart from technical difficulties relating to retrieval of the broken hardware, complications such as adjacent joint arthritis and damage to neurovascular structures and major viscera can occur. Complications occurring during the perioperative period must be informed to the patient and proper documentation is essential. The treatment options must be discussed with the patient and relatives and the implant company must be informed about this untoward incident.
CASE REPORT
We report a case of complete removal of the implant and then removal of the broken guidewire using a combination of techniques, including a cannulated drill bit, pituitary forceps and Kerrison rongeur.
CONCLUSIONS
We suggest some treatment options and recommendations for preventing an avoidable surgical catastrophe.
背景
髋关节手术期间的硬件断裂会给骨科医生带来具有挑战性和困难的问题。除了与取出断裂硬件相关的技术难题外，还可能发生诸如相邻关节关节炎以及神经血管结构和主要内脏损伤等并发症。围手术期发生的并发症必须告知患者，妥善记录至关重要。必须与患者及其亲属讨论治疗方案，并且必须将这一不良事件告知植入物公司。
病例报告
我们报告了一例通过使用包括空心钻头、垂体钳和克里森咬骨钳等多种技术组合，完全取出植入物，然后取出断裂导丝的病例。
结论
我们提出了一些治疗方案和建议，以防止一场可避免的手术灾难。
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