Use of high-speed burr and water-based lubricant in the partial removal of surgical plates: A technique Guide

Abstract Implant removal comprises 5% of all orthopaedic surgery procedures performed annually. Surgical indications range from implant failure, infection, non-union, and symptomatic hardware. Intra-operatively, surgeons need to prepare for complications including bony overgrowth, cold-welding, brok...

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Bibliographic Details
Published inJournal of clinical orthopaedics and trauma Vol. 10; no. 2; pp. 422 - 426
Main Authors Hammarstedt, Jon E, Gershkovich, Grigory E, Mass, Daniel P
Format Journal Article
LanguageEnglish
Published India Elsevier B.V 01.03.2019
Elsevier
Subjects
Hardware removal
High speed burr
Orthopedics
Revision surgery
Surgical hardware
Technical tip
Hardware removal
Surgical hardware
Revision surgery
High speed burr
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Summary:Abstract Implant removal comprises 5% of all orthopaedic surgery procedures performed annually. Surgical indications range from implant failure, infection, non-union, and symptomatic hardware. Intra-operatively, surgeons need to prepare for complications including bony overgrowth, cold-welding, broken screws, and stripped screw heads. Large anatomic dissections required for complete hardware removal place the patient at increased risk of complications due to increased operating time and larger dissections. The authors present a safe and effective technique for the partial removal of surgical implants. The technique utilizes a high-speed burr to cut surgical plates, minimizing the total dissection and operative time. Sterile surgical laps covered in water-based lubricant capture metal debris to reduce tissue contamination as well as surgeon exposure to metal particles.
ISSN:0976-5662
2213-3445
DOI:10.1016/j.jcot.2018.05.015