The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Intrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture

Document Type : LETTER TO THE EDITOR

Authors
Uttam Chand Saini
Nirmal Raj Gopinathan
Sameer Aggarwal
Ramesh Sen
Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
10.22038/abjs.2017.24396.1647
Abstract
Breakage of DHS guide wire during surgery and its migration into the pelvis through the hip joint is a rare complication and its removal can be very challenging for the surgeon. We share our experience of a similar case wherein we used an ‘iliofemoral’ approach to successfully remove the broken transfixing guidewire from the hip joint. Although iliofemoral approach is similar to the lateral window of conventional ilioinguinal approach, yet it is less invasive, has lesser complications, requires less expertise and is easily reproducible by an average orthopaedic trauma surgeon. We recommend that surgical approaches for removal of these broken or migrated wires should be individualized depending upon the exact location of the wire tip in the hip joint or pelvis and need for exposure.
Keywords
Guide wire
Dynamic hip screw
complication
Proximal hip fracture
Iliofemoral approach
Subjects
1. Afshar A. Intrapelvic protrusion of a broken guide wire
fragment during fixation of a femoral neck fracture.
Arch Bone Jt Surg. 2017; 5(1):63-5.
2. Sen RK, Tripathy SK, Aggarwal S, Goyal T, Meena DS,
Mahapatra S. A safe technique of anterior column lag
screw fixation in acetabular fractures. Int Orthop.
2012; 36(11):2333-40.
3. Matta JM. Operative treatment of acetabular
fractures through the ilioinguinal approach: a 10-
year perspective. J Orthop Trauma. 2006; 20(1
Suppl):S20-9.
4. Sen RK, Tripathy SK, Aggarwal S, Agarwal A, Goyal T,
Tahasildar N, et al. Broken Kirschner or guide-wire
retrieval: a report of 4 cases. Hip Int. 2010; 20(4):551-4.
The Archives of Bone and Joint Surgery
Volume 6, Issue 2
March 2018
Pages 155-156

  • Receive Date 01 July 2017
  • Revise Date 05 August 2017
  • Accept Date 15 July 2017