Description
In this engaging talk by Deepa Bose, a consultant orthopedic surgeon at the Queen Elizabeth Hospital in Birmingham, she addresses the complexities and techniques involved in the removal of metalwork from patients. Beginning with a light-hearted question about the coolness factor of such procedures, Bose dives into the significant reasons why metalwork is often left in place, highlighting the risks associated with both postoperative and intraoperative complications. By referencing recent surveys, she notes that many UK surgeons still recommend removal for younger patients, emphasizing the technical challenges surgeons face during these operations, such as the difficulties in removing broken screws or dealing with incompatible implants.
Using vivid examples, Bose illustrates common scenarios from her practice, such as the removal techniques for sunken nails and broken screws. She also offers practical advice, including the importance of preparation and communication among surgical teams, as well as specific tools and approaches that can enhance surgical outcomes. With humor and insight, she wraps up by sharing her '5Ps of preparation'—essential tips that encourage careful planning for successful implant removal, including proper imaging and utilizing specialized instruments. Her closing advice to 'shake the leg' in moments of desperation perfectly embodies the lighthearted yet serious nature of her presentation.
Part of: Surgical Techniques and Training Collection
"Removal of Metalwork" is included in the following Surgical Techniques and Training playlist: