Management and decision-making after implantation of a non-sterilized implant in a trauma patient.
L Tondeur, R Wirtz
✦ AI-curated · Sources linked
Case in brief
A trauma patient underwent surgery where a non-sterilized distal radius plate was inadvertently implanted. Following a root cause analysis, it was determined that multiple safety breaches contributed to this error. The patient was treated with antibiotics for seven days while the implant remained in place, and after four years, there was no evidence of infection.
Diagnostic / clinical pearl
Clinicians should implement standardized protocols for verifying sterility in surgical settings to prevent complications from sterility breaches.
Why it matters
This case highlights the importance of structured risk assessment and decision-making frameworks in managing sterility errors in orthopedic surgery.