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. 2005 May;87(5):716-9.
doi: 10.1302/0301-620X.87B5.15623.

The care of pin sites with external fixation

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The care of pin sites with external fixation

R Davies et al. J Bone Joint Surg Br. 2005 May.

Abstract

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 group B had a lower proportion of infected pin sites (p = 0.003) and the time to the first episode of infection was longer (p < 0.001). The risk of pin-site infection is lower if attention is paid to avoiding thermal injury and local formation of haematoma during surgery and if after-care includes the use of an alcoholic antiseptic and occlusive pressure dressings.

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Comment in

  • The care of pin sites with external fixation.
    Sian PS, Britten S, Duffield B. Sian PS, et al. J Bone Joint Surg Br. 2006 Apr;88(4):558. doi: 10.1302/0301-620X.88B4.17636. J Bone Joint Surg Br. 2006. PMID: 16567797 No abstract available.