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

doi:10.18502/jost.v7i1.5965

Mehrdad Sadighi Assistant Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Meisam Jafari Kafiabadi Assistant Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Farsad Biglari Surgeon, Department of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammadreza Chehrassan Assistant Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Amin Karami Resident, Department of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Adel Ebrahimpour Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v7i1.5965

Keywords: Hip Fractures; Orthopedic Fixation Device; Intraoperative Complication; Bone Pins; Bone Screws

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.