While flexible reamers have been found effective by surgeons to achieve optimal femoral-tunnel parameters, a new "Watch" article published in the Journal of Bone and Joint Surgery Case Connector reveals that they are prone to breakage in certain situations such as in anatomic single-bundle ACL reconstruction.
This "Watch" is based largely on a report published in the October 22, 2014 issue of JBJS Case Connector
by Lee, et al., examining two cases of single-bundle anatomic ACL reconstruction during which flexible reamers broke while femoral tunnels were being drilled. The "Watch" helps orthopaedists understand the causes and conditions around those incidents so that surgeons who use these devices can avoid similar mishaps.
To enhance clinical outcomes and improve patient safety, "Watch" articles in JBJS Case Connector
alert the orthopaedic community about potentially problematic devices or therapeutic approaches. When two or more such cases with similar mechanisms appear, our editors will identify the procedure or implant as a "watchable" intervention to sharpen the focus of clinicians on the potential for similar problems and enhance clinical outcomes and patient safety.
"The publication of 'Watches' helps fulfill our mission to serve the orthopaedic community," commented Marc Swiontkowski, MD, editor of JBJS Case Connector
. "The 'Watch' designation may encourage the orthopaedic community to either demonstrate that these are isolated, unrelated cases or sharpen the focus further by rigorously evaluating the intervention and/or reporting related cases."