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Table 3 Intraoperative challenges and solutions

From: Further understanding on osteopetrotic femoral fractures: a case report and literature review

Challenges

Solutions

Drilling skills

Spaced cycles with low-speed drilling or use high-resistance and high-speed electric drill bits

Intra-operative fracture

Avoid inappropriate violence and use of hammers

Temperature control

Continuous cooling with saline, frequent change of drill bits

Infection

Strict aseptic operation, control of operation time, preventive use of drugs as necessary

Hip lag screw

Reducing length of drilling, tapping and inserting screws, regular cleaning of tap and screw tract

Lateral plate

Fully tapping all holes before screw insertion