Inadvertent Retention of Angled Drill Guides After Volar Locking Plate Fixation of Distal Radial Fractures: A Report of Three Cases
MedSun: Newsletter #27, August 2008

By Timothy Bhattacharyya, MD and Ajay D. Wadgaonkar, BS
The Journal of Bone and Joint Surgery

Advances in locking plate technology have proven especially valuable for fixation of distal radial fractures, and preliminary results have been excellent. However, new technology can sometimes lead to new complications. In some systems, the locking plates are preloaded with angled drill guides to allow for easy placement of locking screws in the proper direction. The drill guides are designed to be removed prior to closure. We report the cases of three patients in whom the angled drill guides were retained after surgery.

MedSun also received a report in which the OR staff were not aware of this counting requirement and a post-operative X-ray revealed the presence of one of the screw guides. The patient was returned to the OR and the guide was removed without complication.

Additional Information:

Inadvertent Retention of Angled Drill Guides After Volar Locking Plate Fixation of Distal Radial Fractures: A Report of Three Cases. By Timothy Bhattacharyya, MD and Ajay D. Wadgaonkar, BS. The Journal of Bone and Joint Surgery. March 2008.
http://www.ejbjs.org/cgi/content/extract/90/2/401


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