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Publication Type: Risk Alert
Single or Multiple Incident: Single
Date: 1/1/2020 12:00:00 AM
Country: Hong Kong

This alert describes an incident of foreign body retention following removal of an implant for a left tibia fracture. The fracture 2 years ago had been fixed with a locking plate. Patient underwent a successful implant removal. X-ray screening was performed after implant removal and drain insertion. A 2mm opacity, which was likely metallic debris, was found retained on the post-operative X-ray review. All instruments and implants were confirmed intact during usual checks. The small debris could be left from the first surgery, or could be fatigued metal materials left behind or chipped during second surgery. A recommendation to prevent similar incidents is provided.

Additional Details

Device:
locking plate, drain


Retained Metallic Fragment Following Implant Removal