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Abstract
This paper aims to investigate whether drill bit fragments which are in contact with
an implant behave differently to those without contact to the implant and if so in
what way. There is particular emphasis on whether two metals in contact are subject
to corrosion and whether the products of such a corrosion lead to undesirable tissue
reactions. The orthopaedic surgeon must know whether a drill bit fragment should be
removed if it is in contact with an implant, in particular, whether there will be
negative consequences for the tissue if it is left in the body. It is necessary to
establish how much additional trauma is justified in removing a broken fragment and
how the surgeon can determine intraoperatively whether there is contact between the
fragment and the implant Finally, this investigation aims to establish whether the
fragment can be left in the body until implant removal or whether it can be left permanently
in situ.
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© 1992 Published by Elsevier Inc.
