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A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal
Intramedullary nails are currently the most commonly used device for the fixation of intertrochanteric hip fractures. An initial threaded guidewire is used for localizing the site of entry and determining the final position of the fixation device. Hardware failure with guidewire breakage can complic...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MSU College of Osteopathic Medicine Statewide Campus System
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7746120/ https://www.ncbi.nlm.nih.gov/pubmed/33655108 http://dx.doi.org/10.51894/001c.5785 |
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author | Kasik, Conor Rosen, Michael Sauchak, John |
author_facet | Kasik, Conor Rosen, Michael Sauchak, John |
author_sort | Kasik, Conor |
collection | PubMed |
description | Intramedullary nails are currently the most commonly used device for the fixation of intertrochanteric hip fractures. An initial threaded guidewire is used for localizing the site of entry and determining the final position of the fixation device. Hardware failure with guidewire breakage can complicate the procedure and lead to unplanned challenges for the surgeon. Predisposing mechanical properties of the hardware, along with technical surgical errors may lead to inadvertent breakage or migration of guidewires. The authors report a case of initial threaded starting guidewire migration into the femoral intramedullary canal with subsequent impaction into the distal femoral subchondral bone after advancement of the proximal femoral canal reamer. A method for antegrade removal of a lodged intramedullary guidewire through the distal femoral condyles is described. A set of key technical points to avoid this complication are also provided. Although guidewire migration during hip fracture surgery is a rare occurrence, it is important to recognize the technical measures that can be used to prevent this potentially devastating complication. Surgeons should be familiar with several different techniques for extraction of such hardware surrounding the hip, as there is no universally successful method. |
format | Online Article Text |
id | pubmed-7746120 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | MSU College of Osteopathic Medicine Statewide Campus System |
record_format | MEDLINE/PubMed |
spelling | pubmed-77461202021-03-01 A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal Kasik, Conor Rosen, Michael Sauchak, John Spartan Med Res J Case Report Intramedullary nails are currently the most commonly used device for the fixation of intertrochanteric hip fractures. An initial threaded guidewire is used for localizing the site of entry and determining the final position of the fixation device. Hardware failure with guidewire breakage can complicate the procedure and lead to unplanned challenges for the surgeon. Predisposing mechanical properties of the hardware, along with technical surgical errors may lead to inadvertent breakage or migration of guidewires. The authors report a case of initial threaded starting guidewire migration into the femoral intramedullary canal with subsequent impaction into the distal femoral subchondral bone after advancement of the proximal femoral canal reamer. A method for antegrade removal of a lodged intramedullary guidewire through the distal femoral condyles is described. A set of key technical points to avoid this complication are also provided. Although guidewire migration during hip fracture surgery is a rare occurrence, it is important to recognize the technical measures that can be used to prevent this potentially devastating complication. Surgeons should be familiar with several different techniques for extraction of such hardware surrounding the hip, as there is no universally successful method. MSU College of Osteopathic Medicine Statewide Campus System 2017-02-02 /pmc/articles/PMC7746120/ /pubmed/33655108 http://dx.doi.org/10.51894/001c.5785 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Kasik, Conor Rosen, Michael Sauchak, John A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal |
title | A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal |
title_full | A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal |
title_fullStr | A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal |
title_full_unstemmed | A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal |
title_short | A Novel Technique for the Removal of an Intramedullary Femoral Guidewire Lodged in the Femoral Canal |
title_sort | novel technique for the removal of an intramedullary femoral guidewire lodged in the femoral canal |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7746120/ https://www.ncbi.nlm.nih.gov/pubmed/33655108 http://dx.doi.org/10.51894/001c.5785 |
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