• Sao Paulo Med J · Nov 2015

    Case Reports

    Removing a broken guidewire in the hip joint: treatment options and recommendations for preventing an avoidable surgical catastrophe. A case report.

    • Abhijeet Ashok Salunke, Prem Haridas Menon, Gurunathampalayam Ilango Nambi, Junhao Tan, Vivek Patel, Yongsheng Chen, and Jay Kumar.
    • Department of Orthopedics, Pramukswami Medical College, Karamsad, Gujarat, India.
    • Sao Paulo Med J. 2015 Nov 1; 133 (6): 531534531-4.

    ContextHardware 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 ReportWe 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.ConclusionsWe suggest some treatment options and recommendations for preventing an avoidable surgical catastrophe.

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