Retrieval of Entrapped Broken Guide Wire in the Femoral Head and Hip Joint Using Alligator Forceps: A Case Report and Technique Note

The guide wire plays a crucial role in core decompression procedures for avascular necrosis of the femoral head and fixation of femoral neck fractures using dynamic hip screws (DHSs) or cannulated screws. Although guide wire breakage during surgery is extremely rare, there have been instances where the distal end of the guide wire has fractured and becomes trapped within the fractured femoral head or hip joint. This can occur due to technical errors or poor quality of the guide wire used. The removal of the broken guide wire from the femoral head presents a challenging and complex task that requires precision and efficiency. In this report, we present a safe and efficient method to remove a broken guide wire entrapped within the femoral head and hip joint using alligator forceps. Under the guidance of an image intensifier, the broken guide wire was successfully extracted using this specialized instrument. By sharing this rare case, our goal is to raise awareness among surgeons about the possible complications associated with core decompression procedures and to highlight the importance of preventive measures. Furthermore, we introduce a reliable and alternative technique for removing broken guide wires, providing surgeons with an easier and more efficient approach.