Hip Arthroscopy - My Worst Day in the Operating Room in 2020: What Happened and How it Changed My Practice (2021 Annual Meeting)-Hip Arthroscopy - My Worst Day in the Operating Room in 2020: What Happened and How it Changed My Practice-Ruzbarsky

Hip Arthroscopy - My Worst Day in the Operating Room in 2020: What Happened and How it Changed My Practice-Ruzbarsky

Video Transcription

Video Summary

The presentation discussed a rare complication during hip arthroscopy where a drill bit broke and lodged in the acetabular rim while repairing a labral tear in a 32-year-old female. The surgeon faced the choice of removing the fragment or leaving it in place, considering risks of migration and damage. After completing the labral repair, the drill bit was successfully extracted using a microfracture awl and fluoroscopy. Literature shows drill bit breakage is rare (~0.2-0.35%) but can pose risks. The case led to changes in surgical practice, including careful equipment inspection and readiness to manage instrument failure.

Asset Caption

Dr. Joseph J. Ruzbarsky

Keywords

hip arthroscopy

drill bit breakage

acetabular rim

labral tear repair

instrument failure management