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J Bone Joint Surg Am. 2008 Dec;90(12):2652-4. doi: 10.2106/JBJS.H.00163.

Frequency of instrument breakage during orthopaedic procedures and its effects on patients.

Author information

1
Department of Traumatology, Medical University of Graz, Auenbruggerplatz 7a, A-8036 Graz, Austria. wolfgang.pichler@klinikum-graz.at

Abstract

BACKGROUND:

While breakage of an orthopaedic instrument is a relatively rare occurrence, orthopaedic surgeons need to be familiar with this complication and how to deal with it. Relatively little information about this subject has been published.

METHODS:

Every case of instrument breakage during orthopaedic procedures performed in two hospitals during a two-year period was documented prospectively. All patients were followed for a postoperative period ranging from twelve to thirty-six months, during which radiographs in two planes were made to assess changes in, or migration of, the broken object.

RESULTS:

During the observation period, 11,856 surgical procedures were performed in the two hospitals. The overall rate of instrument breakage was 0.35%. The broken piece was removed in five cases, and the broken instrument was left in situ in thirty-seven cases. During the follow-up period, none of the patients had any symptoms.

CONCLUSIONS:

In most cases, breakage of an orthopaedic instrument is not a problem. Any instance of instrument breakage should be fully documented in the surgical report.

PMID:
19047710
DOI:
10.2106/JBJS.H.00163
[Indexed for MEDLINE]

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