The care of pin sites with external fixation

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The care of pin sites with external fixation.

Two protocols for the operative technique and care of the pin-site with external fixation were compared prospectively. There was a total of 120 patients with 46 in group A and 74 in group B. Infection was defined as an episode of pain or inflammation at a pin site, accompanied by a discharge which was either positive on bacterial culture or responded to a course of antibiotics. Patients in grou...

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Care of external fixator pin sites.

External fixators include pins and wires placed by surgeons to stabilize fractures such as those involving the tibia. In critical care, external fixators are more commonly used to stabilize cervical spine fractures. Because halo fixators secure cervical alignment, these devices allow early mobilization and shortened stays. However, halo-fixator complications include cranial pin loosening, local...

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External pin fixation for unstable Colles' fractures.

During a five-year period, a double-pin Roger Anderson apparatus, with pins perpendicularly placed in the second and third metacarpals and in the distal part of the radius, was applied in 130 patients with an unstable Colles fracture. Sixty of the 130 were followed for two years. Shortening was limited to a median of two millimeters and dorsal angulation, to a median of 3 degrees. Wrist dorsifl...

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Biomechanical analysis of four external fixation pin insertion techniques

Having multiple external fixation pin designs and insertion techniques has led to debate as to which combination creates the stiffest construct. This study sought to biomechanically evaluate construct strength using self-drilling (SD) and self-tapping (ST) pins inserted with either bicortical or unicortical fixation. SD and ST 5.0 mm stainless steel pins were used in combination with bicortical...

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Discharging pin sites following K-wire fixation of distal radial fractures: a case for pin removal?

The aim of this study was to find out whether discharging pin sites following Kirschner-wire fixation of distal radial fractures warrant early wire removal. In a prospective study of 50 patients with a closed distal radial fracture treated by manipulation and either percutaneous or mini-incision Kirschner-wiring, we identified 14 patients (28%) with discharging pin sites. All of the cases were ...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 2005

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.87b5.15623