Usefulness of a drill stopper to prevent iatrogenic soft tissue injury in orthopedic surgery

• DOI: 10.1016/j.heliyon.2023.e20772
• Publication Date: 2023-10-07T15:45:08Z
• Authors: Jung Hwan Choi; Young Seok Lee; Kyu-Tae Hwang; Young-Hoon Jo; Hyun Sik Shin; Jihwan Kim; Ki-Chul Park
• Keywords: Soft tissue injury

ObjectiveThis study introduces a novel technique utilizing drill stopper to limit penetration depth and prevent iatrogenic injuries, specifically neurovascular damage, in orthopedic surgeries. Orthopedic surgeries frequently involve the use of drills, which are essential tools for various procedures. However, improper handling drills can lead soft tissue causing severe consequences such as permanent disability or life-threatening complications. To address this issue, we propose safeguard excessive reduce risk damage during surgery.Materials MethodsThe involved 32 surgeons, half whom were experienced other inexperienced. Synthetic femur bone models (Synbone) used drilling exercises, employing four configurations: sharp bit without (SF, Sharp Free), with (SS, Stopper), blunt (BF, Blunt (BS, Stopper). Each participant conducted three trials each configuration, was measured after trial.ResultsFor average depths 3.83 (±1.826)mm SF, 11.02 (±3.461)mm BF, 2.88 (±0.334)mm SS, 2.75 (±0.601)mm BS. In contrast, inexperienced surgeons had 8.52 (±4.608)mm 18.75 (±4.305)mm 2.96 (±0.683)mm 2.83 (±0.724)mm BS.ConclusionThe highly effective controlling preventing injuries We recommend its incorporation, particularly when using an surgeon operates anatomically unfamiliar area. Using stopper, from be minimized, leading improved patient safety better surgical outcomes.