Al-Kharouf Khaled F, Abbas Kashif, Anjum Syed, Khan Faisal I
Emergency Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, GBR.
Trauma and Orthopaedics, University Hospital Southampton NHS Foundation Trust, Southampton, GBR.
Cureus. 2021 Nov 18;13(11):e19706. doi: 10.7759/cureus.19706. eCollection 2021 Nov.
Breaking of surgical drill bits and subsequent dislodging in the bone are quite common in the field of orthopedics. Even though a few methods have been reported to remove dislodged drill bits, we present a novel method to remove a broken drill bit without additional instruments or a secondary incision. A broken cannulated drill bit within the locking screw hole inside the neck of a femur was retrieved using a depth gauge with a curved tip that hooked onto the edge of the drill bit. By employing a clockwise and counter-clockwise twisting, the broken drill bit was retrieved through the proximal reaming tract. The 4mm tract, which was established by proximal reaming, immensely facilitated safe and time-efficient removal of the drill tip without further trauma or prolonging the surgery time. With our technique, the removal was simple and safe without further soft tissue trauma and blood loss. We advocate this approach for implementation in similar cases.
在骨科领域,手术钻头断裂并随后掉入骨内的情况相当常见。尽管已有一些报道的方法用于取出掉入骨内的钻头,但我们提出了一种无需额外器械或二次切口即可取出断裂钻头的新方法。使用带有弯曲尖端的深度测量仪钩住股骨颈内锁定螺钉孔内的空心断裂钻头边缘,将其取出。通过顺时针和逆时针扭转,将断裂钻头通过近端扩孔通道取出。近端扩孔形成的4毫米通道极大地促进了安全且高效地取出钻头尖端,而不会造成进一步创伤或延长手术时间。采用我们的技术,取出过程简单安全,不会造成进一步的软组织创伤和失血。我们提倡在类似病例中采用这种方法。