There is insufficient evidence for a particular strategy of pin site care which minimises infection rates. Adequately powered randomised trials are required to examine the effects of different pin care regimens and co interventions such as antibiotic use and other extraneous factors must be controlled in the study designs.

There is very little work that discusses the pain experience following fractured shaft of femur. Therefore, an exploratory phenomenological study of the individual experience of pain following a traumatic fracture of the shaft of femur was conducted. Two key themes emerged: the injury experience and the pain experience, both linked to the need to maintain physical integrity. The findings underline the highly complex nature of the pain experience and illustrate the range of experiences that individuals with traumatic fractures are exposed to. The findings have implications for the nursing and medical management of patients following long bone fracture.

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There is very little evidence as to which pin site care regimen best reduces infection rates. Clearly there is a need for large RCTs to determine the best method of pin site management.