Modified right-angled forceps for Gigli's wire saw retrieval during osteotomy

Modified right-angled forceps for Gigli's wire saw retrieval during osteotomy

Prabha S Yadav, Quazi G Ahmad, Vinay K Shankhdhar, GI Nambi
Plastic and Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai - 400 012, India

Correspondence Address:
G I Nambi
Plastic and Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai - 400 012
India

DOI: 10.4103/0970-0358.81463

How to cite this article:
Yadav PS, Ahmad QG, Shankhdhar VK, Nambi GI. Modified right-angled forceps for Gigli's wire saw retrieval during osteotomy. Indian J Plast Surg 2011;44:160-1
How to cite this URL:
Yadav PS, Ahmad QG, Shankhdhar VK, Nambi GI. Modified right-angled forceps for Gigli's wire saw retrieval during osteotomy. Indian J Plast Surg [serial online] 2011 [cited 2011 May 23];44:160-1. Available from: http://www.ijps.org/text.asp?2011/44/1/160/81463

Sir,

The Gigli's wire saw is routinely used during amputations and osteotomies and the retrieval of the wire saw is done with a variety of instruments such as Kocher's forceps and right-angled artery forceps, etc. As these instruments are not specifically meant for this purpose, both the wire saw loop and the retrieving instruments are bound to get damaged or worn out quickly, thereby decreasing their effectiveness. To avoid this, we devised a modified right-angled forceps that has a slot meant specifically for the saw loop [Figure 1], [Figure 2] and [Figure 3]. The angle is also gently curved so as to easily negotiate around the posterior aspect of the bone, followed by easy retrieval of the wire saw loop from one side to the other side of the bone. We used this modified right-angled forceps for fibular osteotomies during mandible reconstruction and found that it was far more efficient than any other instrument in retrieving the Gigli's saw and ensured good longevity of both the Gigli's saw loop as well as the modified right-angled forceps. Figure 2: (a) Closed jaw view of the gentle right angle and the slot for holding the loop of the Gigli's saw, (b) Open jaw view showing the slot that is wide and deep enough to hold the Gigli's saw loop without crushing it

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Figure 3a: Gigli's saw loop being held precisely in the slot before retrieval
Figure 3b: Gigli's loop after retrieval on the other side of the bone

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[Figure 1], [Figure 2], [Figure 3]

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