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Pichler, W; Mazzurana, P; Clement, H; Grechenig, S; Mauschitz, R; Grechenig, W.
Frequency of instrument breakage during orthopaedic procedures and its effects on patients.
J Bone Joint Surg Am. 2008; 90(12): 2652-2654.
Doi: 10.2106/JBJS.H.00163
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
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Pichler Wolfgang
- Co-authors Med Uni Graz
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Clement Hans Gunther
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Grechenig Wolfgang
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Mauschitz Renate
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- 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.
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Orthopedic Equipment - adverse effects
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