Intra-Pelvic Penetration of Broken Guide Wire during Fixation of Hip Fracture: Presentation of a Case and Review of Literature
-
Mehrdad Sadighi
,
Meisam Jafari Kafiabadi
,
Farsad Biglari
,
Mohammadreza Chehrassan
,
Amin Karami
,
Adel Ebrahimpour
Abstract
Background: The application of a cannulated device is a widely used fixation method for hip fractures. Although the breakage of the guide wire during this procedure is an uncommon complication, migration of the broken fragment might be catastrophic.
Case Report: We presented a case of intertrochanteric fracture with breakage of the lag screw guide wire in the acetabulum during fixation with cephalomedullary nail. The broken fragment was located with computed tomography (CT) scan and removed through Stoppa approach.
Conclusion: We found the Stoppa approach a safe and useful method for extracting the intra-pelvic broken guide wire.
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10.1155/2020/5602683. [PubMed: 32566061]. [PubMed Central: PMC7256682].
2. Sayegh FE, Tsintzas D, Kapetanos GA. Intrapelvic migration of a guide pin during fixation of a hip fracture: Who and what is to blame? Acta Orthop Belg. 2005;71(2):239-41. [PubMed: 16152863].
3. Saini UC, Gopinathan NR, Aggarwal S, Sen R. Intrapelvic protrusion of a broken guide wire fragment during fixation of a femoral neck fracture. Arch Bone Jt Surg. 2018;6(2):155-6. [PubMed: 29600270]. [PubMed Central: PMC5867361].
4. Dorr LD, Faugere MC, Mackel AM, Gruen TA, Bognar B, Malluche HH. Structural and cellular assessment of bone quality of proximal femur. Bone. 1993;14(3):231-42. doi: 10.1016/8756-3282(93)90146-2. [PubMed: 8363862].
5. Sharma H, Chauhan M, Maini L. A technique to remove a broken guide wire transfixing the hip joint. Acta Orthop Belg. 2008;74(5):683-5. [PubMed: 19058705].
6. Mishra P, Jain P, Aggarwal A, Upadhyay A, Maini L, Gautam VK. Intrapelvic protrusion of guide wire during fixation of fracture neck of femur. Injury. 2002;33(9):839-41. doi: 10.1016/s0020-1383(02)00172-9. [PubMed: 12379397].
7. Ilizaliturri VM Jr, Zarate-Kalfopulos B, Martinez-Escalante FA, Cuevas-Olivo R, Camacho-Galindo J. Arthroscopic retrieval of a broken guidewire fragment from the hip joint after annulated screw fixation of slipped capital femoral epiphysis. Arthroscopy. 2007;23(2):227.e1-4. doi: 10.1016/j.arthro.2005.08.048. [PubMed: 17276233].
8. Mueller M, Jahnich H, Butler-Manuel A. Inadvertent guide wire advancement in hip fracture fixation with fatal outcome. Injury. 2005;36(5):679-80. doi: 10.1016/j.injury.2004.06.024. [PubMed: 15826632].
9. Venkata GR, Mootha AK, Thayi C, Parekh VG, Ramireddy VK. Concomitant laparoscopy: An effective technique for successful retrieval of intra pelvic migrated broken guide pin. Injury. 2012;43(4):526-9. doi: 10.1016/j.injury.2011.11.010. [PubMed: 22209170].
10. Mishra P, Gautam VK. Broken guide wire with intrapelvic protrusion: A technique for removal. Injury. 2004;35(12):1324-6. doi: 10.1016/j.injury.2003.10.010. [PubMed: 15561130].
11. 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. doi: 10.1177/112070001002000422. [PubMed: 21157764].
10.1155/2020/5602683. [PubMed: 32566061]. [PubMed Central: PMC7256682].
2. Sayegh FE, Tsintzas D, Kapetanos GA. Intrapelvic migration of a guide pin during fixation of a hip fracture: Who and what is to blame? Acta Orthop Belg. 2005;71(2):239-41. [PubMed: 16152863].
3. Saini UC, Gopinathan NR, Aggarwal S, Sen R. Intrapelvic protrusion of a broken guide wire fragment during fixation of a femoral neck fracture. Arch Bone Jt Surg. 2018;6(2):155-6. [PubMed: 29600270]. [PubMed Central: PMC5867361].
4. Dorr LD, Faugere MC, Mackel AM, Gruen TA, Bognar B, Malluche HH. Structural and cellular assessment of bone quality of proximal femur. Bone. 1993;14(3):231-42. doi: 10.1016/8756-3282(93)90146-2. [PubMed: 8363862].
5. Sharma H, Chauhan M, Maini L. A technique to remove a broken guide wire transfixing the hip joint. Acta Orthop Belg. 2008;74(5):683-5. [PubMed: 19058705].
6. Mishra P, Jain P, Aggarwal A, Upadhyay A, Maini L, Gautam VK. Intrapelvic protrusion of guide wire during fixation of fracture neck of femur. Injury. 2002;33(9):839-41. doi: 10.1016/s0020-1383(02)00172-9. [PubMed: 12379397].
7. Ilizaliturri VM Jr, Zarate-Kalfopulos B, Martinez-Escalante FA, Cuevas-Olivo R, Camacho-Galindo J. Arthroscopic retrieval of a broken guidewire fragment from the hip joint after annulated screw fixation of slipped capital femoral epiphysis. Arthroscopy. 2007;23(2):227.e1-4. doi: 10.1016/j.arthro.2005.08.048. [PubMed: 17276233].
8. Mueller M, Jahnich H, Butler-Manuel A. Inadvertent guide wire advancement in hip fracture fixation with fatal outcome. Injury. 2005;36(5):679-80. doi: 10.1016/j.injury.2004.06.024. [PubMed: 15826632].
9. Venkata GR, Mootha AK, Thayi C, Parekh VG, Ramireddy VK. Concomitant laparoscopy: An effective technique for successful retrieval of intra pelvic migrated broken guide pin. Injury. 2012;43(4):526-9. doi: 10.1016/j.injury.2011.11.010. [PubMed: 22209170].
10. Mishra P, Gautam VK. Broken guide wire with intrapelvic protrusion: A technique for removal. Injury. 2004;35(12):1324-6. doi: 10.1016/j.injury.2003.10.010. [PubMed: 15561130].
11. 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. doi: 10.1177/112070001002000422. [PubMed: 21157764].
| Files | ||
| Issue | Vol 7, No 1 (2021) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v7i1.5965 | |
| Keywords | ||
| Hip Fractures; Orthopedic Fixation Device; Intraoperative Complication; Bone Pins; Bone Screws | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Sadighi M, Jafari Kafiabadi M, Biglari F, Chehrassan M, Karami A, Ebrahimpour A. Intra-Pelvic Penetration of Broken Guide Wire during Fixation of Hip Fracture: Presentation of a Case and Review of Literature. J Orthop Spine Trauma. 2021;7(1):31-3.
