What nobody told you about femur fractures.

DOI: https://doi.org/10.15417/436
Keywords: femur, fracture, complications, surgical tools, nail, claim.

Abstract

Surgical expertise permits our surgeons to handle intraoperative difficulties related to a deffectuous  set of  surgical instruments when dealing with femur fracture intramedullary nailing . This paper intends to co- relate data obtained from different   orthopedic surgical- teams and literature on this topic.GoalsTo define frequent surgical situations arising  from a deffectuous set of surgical tools, when an orthopedic surgical team is operating  on femur fractures. To perform an Orthopedic Surgeons survey . Estimation of possible ways to a solution. Methods31 surgical interventions with intramedullary femoral nailing were  practiced from January 2008 to Aug 2013.18 cases of surgical tools defficiencies were registered in 14 surgical procedures. Main problems were related to femoral drill bits  and guide wires. A retrospective, observational study on clinical records, and radiologic files from our Institution was practiced. An On- line survey form was sent by e-mail to Orthopedic surgeons. A query was sent to ANMAT IRAM, and National Ministry of Health and  Ministry of Health from Buenos Aires City asking about possible ways of solution to these claims.ResultsThere were 270 forms filled up by Surgical teams: National response involved 19 provinces from Argentina. There were also responses from Colombia, Ecuador, Italy, Australia and Bolivia.180 belonged to private institutions of Health, and 90 to public Hospitals. Possible ways to a solution were deemed to be Technovigilance Program of ANMAT, Inobservance of  IRAM ISO 9001 rules, Inobservance of Basic Law of Health art 12, items k and l and resolution 255, and denunciation to AAOT Implants Sub-Commitee.ConclusionsA clear cut difference was established among public and private Services, the latter doing better on these subjects. Information in labour field only defined prevalence of technical situations but problems themselves, seemed to be the same. There are legal and administrative tools to deal with these problems.

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Author Biographies

Guillermo Alejandro Ricciardi, Hospital General de Agudos Dr. Teodoro Álvarez.
Médico Residente de 2° año
Gustavo Daniel Ricciardi, Hospital General de Agudos Dr. Teodoro Álvarez.
Médico Residente de 3er. año
Martín Alejandro Perez, Hospital General de Agudos Dr. Teodoro Álvarez
Jefe de Residentes de Ortopedia y Traumatología
Aldo Alexis Bustos, Hospital General de Agudos Dr. Teodoro Álvarez.
Ex-Jefe de Residentes de Ortopedia y Traumatología
Vilma Soliz, Hospital General de Agudos Dr. Teodoro Álvarez.
Especialista en Clínica Médica del Servicio de Ortopedia y Traumatología
Fernando Locaso, Hospital General de Agudos Dr. Teodoro Álvarez.
Médico de Planta del Servicio de Ortopedia y Traumatología.
Fernando Mucci, Hospital General de Agudos Dr. Teodoro Álvarez.
Jefe de Unidad del Servicio de Ortopedia y Traumatología
Ernesto García Tornadú, Hospital General de Agudos Dr. Teodoro Álvarez.
Jefe de Servicio de Ortopedia y Traumatología.
Daniel Oscar Ricciardi, Hospital General de Agudos Dr. Teodoro Álvarez.
Jefe de unidad del Hospital General de Agudos Dr. Teodoro Álvarez.

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Published
2016-05-11
How to Cite
Ricciardi, G. A., Ricciardi, G. D., Perez, M. A., Bustos, A. A., Soliz, V., Locaso, F., Mucci, F., García Tornadú, E., & Ricciardi, D. O. (2016). What nobody told you about femur fractures. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(2), 99-109. https://doi.org/10.15417/436
Issue
Vol 81 No 2 (2016)
Section
Clinical Research

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