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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
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Führende Autor*innen der Med Uni Graz
Pichler Wolfgang
Co-Autor*innen der Med Uni Graz
Clement Hans Gunther
Grechenig Wolfgang
Mauschitz Renate

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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.
Find related publications in this database (using NLM MeSH Indexing)
Austria -
Bone and Bones -
Device Removal -
Equipment Failure - statistics and numerical data
Follow-Up Studies -
Foreign Bodies - diagnosis Foreign Bodies - epidemiology Foreign Bodies - therapy
Humans -
Intraoperative Complications -
Italy -
Orthopedic Equipment - adverse effects
Practice Guidelines as Topic -
Prospective Studies -
Risk Assessment -
Treatment Outcome -

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