Context: Cannulated instruments are usually used while operating around the hip joint for fractures. For example, femoral neck fracture, intertrochanteric fracture, etc. Perioperative instrument breakage such as kirschner wires and guide pins is not infrequent. The fragment of instruments must be removed in order to avoid injury some important organizations. If the fragment further migrate to the acetabulum can result in serious or fatal complications. Removing a broken guide-wire is difficult and challenging even for experienced surgeons. Case Report: We present a simple and useful method to remove the broken guide-wire in the hip joint just using cannulated reamer to ream over the guide wire under the C-arm image intensifier. At first, confirm the cannulated reamer to sight the broken end of the wire, and passed through the broken guide-wire. Then, further reaming with low speed rotation till the beginning of the reamer encased the broken guide-wire. The reamer was withdrawn a few millimeters, after confirmation of the broken guide-wire dislodgment and firmly engaged within the drill lumen by the C-arm image intensifier. Reverse the guide-wire slightly with the reamer through the Proximal Femoral Nail hole. Conclusions: With this method, the authors were able to remove the broken guide wire easily in a few minutes.
| Published in | Journal of Surgery (Volume 7, Issue 5) |
| DOI | 10.11648/j.js.20190705.13 |
| Page(s) | 128-131 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Broken Guide-wire, Removing, Hip Joint, Cannulated Reamer
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APA Style
Wenrui Wu, Simin Luo, Tengfeng Zhuang, Ning Liu, Zhengang Zha. (2019). A Useful Technique for Removing a Broken Guide-wire in the Femoral Neck Through the Proximal Femoral Nail Hole During Operation. Journal of Surgery, 7(5), 128-131. https://doi.org/10.11648/j.js.20190705.13
ACS Style
Wenrui Wu; Simin Luo; Tengfeng Zhuang; Ning Liu; Zhengang Zha. A Useful Technique for Removing a Broken Guide-wire in the Femoral Neck Through the Proximal Femoral Nail Hole During Operation. J. Surg. 2019, 7(5), 128-131. doi: 10.11648/j.js.20190705.13
AMA Style
Wenrui Wu, Simin Luo, Tengfeng Zhuang, Ning Liu, Zhengang Zha. A Useful Technique for Removing a Broken Guide-wire in the Femoral Neck Through the Proximal Femoral Nail Hole During Operation. J Surg. 2019;7(5):128-131. doi: 10.11648/j.js.20190705.13
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Download@article{10.11648/j.js.20190705.13,
author = {Wenrui Wu and Simin Luo and Tengfeng Zhuang and Ning Liu and Zhengang Zha},
title = {A Useful Technique for Removing a Broken Guide-wire in the Femoral Neck Through the Proximal Femoral Nail Hole During Operation},
journal = {Journal of Surgery},
volume = {7},
number = {5},
pages = {128-131},
doi = {10.11648/j.js.20190705.13},
url = {https://doi.org/10.11648/j.js.20190705.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190705.13},
abstract = {Context: Cannulated instruments are usually used while operating around the hip joint for fractures. For example, femoral neck fracture, intertrochanteric fracture, etc. Perioperative instrument breakage such as kirschner wires and guide pins is not infrequent. The fragment of instruments must be removed in order to avoid injury some important organizations. If the fragment further migrate to the acetabulum can result in serious or fatal complications. Removing a broken guide-wire is difficult and challenging even for experienced surgeons. Case Report: We present a simple and useful method to remove the broken guide-wire in the hip joint just using cannulated reamer to ream over the guide wire under the C-arm image intensifier. At first, confirm the cannulated reamer to sight the broken end of the wire, and passed through the broken guide-wire. Then, further reaming with low speed rotation till the beginning of the reamer encased the broken guide-wire. The reamer was withdrawn a few millimeters, after confirmation of the broken guide-wire dislodgment and firmly engaged within the drill lumen by the C-arm image intensifier. Reverse the guide-wire slightly with the reamer through the Proximal Femoral Nail hole. Conclusions: With this method, the authors were able to remove the broken guide wire easily in a few minutes.},
year = {2019}
}
TY - JOUR T1 - A Useful Technique for Removing a Broken Guide-wire in the Femoral Neck Through the Proximal Femoral Nail Hole During Operation AU - Wenrui Wu AU - Simin Luo AU - Tengfeng Zhuang AU - Ning Liu AU - Zhengang Zha Y1 - 2019/08/26 PY - 2019 N1 - https://doi.org/10.11648/j.js.20190705.13 DO - 10.11648/j.js.20190705.13 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 128 EP - 131 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20190705.13 AB - Context: Cannulated instruments are usually used while operating around the hip joint for fractures. For example, femoral neck fracture, intertrochanteric fracture, etc. Perioperative instrument breakage such as kirschner wires and guide pins is not infrequent. The fragment of instruments must be removed in order to avoid injury some important organizations. If the fragment further migrate to the acetabulum can result in serious or fatal complications. Removing a broken guide-wire is difficult and challenging even for experienced surgeons. Case Report: We present a simple and useful method to remove the broken guide-wire in the hip joint just using cannulated reamer to ream over the guide wire under the C-arm image intensifier. At first, confirm the cannulated reamer to sight the broken end of the wire, and passed through the broken guide-wire. Then, further reaming with low speed rotation till the beginning of the reamer encased the broken guide-wire. The reamer was withdrawn a few millimeters, after confirmation of the broken guide-wire dislodgment and firmly engaged within the drill lumen by the C-arm image intensifier. Reverse the guide-wire slightly with the reamer through the Proximal Femoral Nail hole. Conclusions: With this method, the authors were able to remove the broken guide wire easily in a few minutes. VL - 7 IS - 5 ER -
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