Intra-operative fatigue failure of hexagonal screwdriver tip –  case report of a potential complication in trauma surgery.

Ganesh Singh Dharmshaktu

2019, Vol: 5, Issue: 2

5 / 2Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

Required files to be uploaded

Cover Letter
Title Page

Case Report

Prog Orthop Sci. 2016; 2(3): 20-22

doi: 10.5455/pos.20160723011136

Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.

Ganesh Singh Dharmshaktu.

Abstract
Intra-operative instrument breakage is a potential complication that not only leads to increased surgical time and agony to the patient but also is a source of frustration to the surgeon. The retrieval of the broken hardware may pose another challenge and sub optimal outcome in certain cases. There are numerous reports describing breakage of different sorts of medical devices and instruments and improvised methods of their successful retrieval. Orthopedic surgery requires use of manual force with instrumentation and thus the risk for important hardware failure remains omnipresent. The hexagonal screw-driver is widely used to fasten bone screws and is subjected to higher torque leading to rotation and torsion forces that may lead to excessive stress on it that at times goes past its yield point. The present case report describes an untoward event of breakage of screwdriver tip during surgery and its management. The presented report underlines importance of anticipation of this underreported complication of a common procedure.

Key words: Orthopedic Procedures, Complication, Trauma, Surgical Instruments, Equipment failure, Device removal, Fatigue failure.

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	How to cite this article
	Citation Tools
	Related Records
	Articles by Ganesh Singh Dharmshaktu
	on Google
	on Google Scholar
	Article Statistics
	Viewed: 3951 Downloaded: 574

REFERENCES

1. Lambotte A. Chirurgie Operatoire des Fractures. Paris, France: Masson Editors, 1913.

2. Pichler W, Mazzurana P, Clement H, Grechenig S, Mauschitz R, Grechenig W. Frequency of instrument breakage during orthopaedic procedures and its effects on patients. The Journal of bone and joint surg Am 2008; 90(12):2652-4. [DOI via Crossref] [Pubmed]

3. Price MV, Molloy S, Solan MC, Sutton A, Ricketts DM. The rate of instrument breakage during orthopaedic procedures. International orthopaedics 2002;26(3):185-7. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]

4. Perren SM, Frigg R, Hehli M, et al. Lag screw. In: Ruedi TP, Murphy WM, eds. AO Principles of Fracture Management. Stuttgart: Thieme, 00.

5. Perren SM. Force measurements in screw fixation. J Biomech 1976;9:669-675. [DOI via Crossref]

6. Schatzker J, Sanderson R, Murnaghan JP. The holding power of orthopedic screws in vivo. Clin Orthop Relat Res 1975;108:115-126. [DOI via Crossref] [Pubmed]

How to Cite this Article

Pubmed Style

Ganesh Singh Dharmshaktu. Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.. Prog Orthop Sci. 2016; 2(3): 20-22. doi:10.5455/pos.20160723011136

Web Style

Ganesh Singh Dharmshaktu. Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.. http://www.porthosci.com/?mno=232701 [Access: February 15, 2020]. doi:10.5455/pos.20160723011136

AMA (American Medical Association) Style

Ganesh Singh Dharmshaktu. Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.. Prog Orthop Sci. 2016; 2(3): 20-22. doi:10.5455/pos.20160723011136

Vancouver/ICMJE Style

Ganesh Singh Dharmshaktu. Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.. Prog Orthop Sci. (2016), [cited February 15, 2020]; 2(3): 20-22. doi:10.5455/pos.20160723011136

Harvard Style

Ganesh Singh Dharmshaktu (2016) Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.. Prog Orthop Sci, 2 (3), 20-22. doi:10.5455/pos.20160723011136

Turabian Style

Ganesh Singh Dharmshaktu. 2016. Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.. Progress in Orthopedic Science, 2 (3), 20-22. doi:10.5455/pos.20160723011136

Chicago Style

Ganesh Singh Dharmshaktu. "Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.." Progress in Orthopedic Science 2 (2016), 20-22. doi:10.5455/pos.20160723011136

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Ganesh Singh Dharmshaktu (2016) Intra-operative fatigue failure of hexagonal screwdriver tip – case report of a potential complication in trauma surgery.. Progress in Orthopedic Science, 2 (3), 20-22. doi:10.5455/pos.20160723011136

Contact Information

Your comments are very important to us

How to cite this article

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access. The articles in Progress in Orthopedic Science are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

Copyright © 2020 Progress in Orthopedic Science All Rights Reserved. Subject to change without notice from or liability to Progress in Orthopedic Science. For best results, please use Internet Explorer or Google Chrome	Contact Information Your comments are very important to us We welcome your ideas, suggestions, comments, or questions. To reach Editorial Board please use one of the methods provided below. Email us at info[at]scopemed.com We will respond within 48 to 72 hours. Change of address or personal information? Please visit your account at www.ejmanager.com to update your information.