BACKGROUND Although useful in the emergency treatment of pelvic ring injuries, external fixation is associated with pin tract infections, the patient's limited mobility and a restricted surgical accessibility to the lower abdomen. In this study, the mechanical stability of a subcutaneous internal anterior fixation (SIAF) system is investigated. METHODS A standard external fixation and a SIAF ...

BACKGROUND Pin tract infection is one of the most common complications of external fixation. We developed techniques to coat titanium implant surfaces with iodine. This study clinically evaluated the infection-preventive effects and biological safety of iodine-coated external fixation pins. PATIENTS AND METHODS Iodine-supported pins were placed in 39 limbs of 38 patients. The mean age of the ...

this report is on a migration of a steinman pin into the posterior com department of the calf. it was used to fix a greater trochanteric osteotomy in a total hip arthroplasty. the puzzling note is how this metal piece passed through the anterolateral compartment of the thigh to the posterior compartment of the calf. accord ing to our literature review, migration of fixation pins through the kne...

Percutaneous intraspinal navigation (PIN) is a new minimally invasive approach to the CNS. The authors studied the utility of MR-guided intracranial navigation following access to the subarachnoid compartment via PIN. The passive tracking technique was employed to visualize devices during intracranial navigation. Under steady-state free precession (SSFP) MR-guidance a microcatheter-microguidewi...

  Wound complications following ankle fracture surgery are a major concern. Through the use of minimally invasive surgical techniques some of these complications can be mitigated. Recent investigations have reported on percutaneous fixation of distal fibula fractures demonstrating similar radiographic and functional outcomes to traditional open approaches. The purpose of this manuscript is to ...

       Fractures through the sacroiliac joint are very challenging to treat, technically difficult to reduce through closed methods on account of the multiaxial displacement of fractures fragments, frequently occur in very unwell patients, and have poor outcomes if malreduction is present. We describe a technique utilising the lateral window and a short buttress plate to reduce and stabilize th...

Crescent fracture-dislocation of the sacroiliac joint (CFDSIJ) is a type of lateral compression pelvic injury associated with instability. Open reduction and internal fixation is a traditional treatment of CFDSIJ. However, a minimally invasive method has never been reported. The purpose of this study was to assess the outcome of closed reduction and percutaneous fixation for different types of ...

Klíčová slova impresivní fraktura – epidurální hematom – komplikace – uchycení hlavy – bod Abstract The standard three or four-point pin fixation systems immobilizing the head are common procedure for intracranial surgery. Intraoperative epidural hematoma complicated with depressed skull fracture resulting from pin headrest is a rare but devastating complication. Early diagnosis via computed to...

during limb lengthening involving external fixation,1 with an incidence as high as 85%.2 The most appropriate pin-site care is controversial; one study even justifies a nihilistic approach.3 Pin sites near joints are more prone to sepsis, as they are subject to greater movement.4 Minor inflammation or superficial infection is usually treated with antibiotics, local wound care, and occasionally ...