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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 5, 716-719.
doi: 10.1302/0301-620X.87B5.15623  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The care of pin sites with external fixation

R. Davies, BSc, RGN, Clinical Nurse Specialist1; N. Holt, RGN, Clinical Nurse Specialist2; and S. Nayagam, BSc, MCh(Orth), FRCS(Orth), Consultant Orthopaedic Surgeon1

1 Department of Orthopaedic Surgery, Royal Liverpool Children’s Hospital, Alder Hey, Eaton Road, Liverpool L12 2AP, UK
2 Department of Orthopaedic Surgery, Royal Liverpool and Broadgreen University Hospital Trust, Prescott Street, Liverpool L7 8XP, UK.

Correspondence should be sent to Mr S. Nayagam; e-mail: durai.nayagam{at}rlbuht.nhs.uk

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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Home page
 J Bone Joint Surg BrHome page
P. S. SIAN, S. BRITTEN, and B. DUFFIELD
The care of pin sites with external fixation
J Bone Joint Surg Br, April 1, 2006; 88-B(4): 558 - 558.
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Letter from Sian, Britten and Duffield
Parmjit S. Sian, et al.
J Bone Joint Surg Br Online, 18 Aug 2005 [Full text]

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