Adult female presented with a preoperative diagnosis of painful medial column, as well as painful range of motion of the patient's first metatarsophalangeal joint on the right foot.The procedure performed was a right foot tarsometatarsal fusion of the right foot with corrective osteotomy and post procedure splint application.During the procedure, the tip of the olive wire broke off in the patient's cuneiform and did not under fluoroscopy appear to be in the patient's joint.The op report reflects that following adequate osteotomy performed at the base of the first metatarsal as well as the distal aspect of the middle cuneiform, the joint was fenestrated with a drill bit, followed by placement of a bone graft on the foot, the joint was reduced.Then an olive wire was placed across the joint to maintain reduction.X-rays were taken.A dorsal plate followed by a medial plate was placed in the right foot.The k-wire was removed, and it was noted the distal tip of the olive wire did break off and remained in the medial cuneiform bone.With examination, it was determined that the k-wire did not appear to be in the patient's joint and in the center of the cuneiform bone.It was determined to leave the broken fragment in the patient's foot as it would cause more damage to the hardware, which did not appear to be affecting any additional surrounding structures.
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