Pin Tract Infection With Contemporary External Fixation: How Much of a Problem?

Parameswaran, Apurve; Roberts, Craig S.; Seligson, David; Voor, Michael J.

doi:10.1097/00005131-200308000-00005

Cited by 196 publications

(145 citation statements)

References 12 publications

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“…28,29 This led to unwanted motion and the fracture site with resultant loss of reduction, non-union and increased pin-site infection rates. [30][31][32][33][34] Conventional circular external fixation, however, has recently emerged as a viable treatment alternative for bicondylar plateau fractures. 8 These fixators use beam loading through the entire span of the fixator that results in symmetrical loading of the fracture site.…”

Section: Discussionmentioning

confidence: 99%

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Marais

Ferreira

2018

SA orthop. j.

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Introduction: Tibial plateau fractures in the elderly pose significant treatment challenges because of coexisting medical problems, pre-existing degenerative joint disease and osteoporosis. While several studies have reported promising results with the use of circular external fixation, little data is available on its use in older patients. This study aims to compare the complications and union rate of circular external fixation in patients over the age of 55 years with that achieved in younger patients.

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Section: Discussionmentioning

confidence: 99%

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Marais

Ferreira

2018

SA orthop. j.

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“…Additional factors that may contribute to pin tract infection include the thickness of the soft tissue mantle between the skin and bone, with anatomical areas with thicker soft tissue envelopes, such as the thigh, associated with higher infection rates [22]. In our study, there were 17 sites with superficial infection, of which 2 sites were in the femur (4.4% of the femoral pin insertion sites) and 15 sites were in the lower leg (4.5% of the lower leg pin insertion sites).…”

Section: Discussionmentioning

confidence: 99%

Prevention of pin tract infection with iodine-supported titanium pins

Shirai

Watanabe

Matsubara

et al. 2014

Journal of Orthopaedic Science

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“…In one study, it was found that pin tract infection rate was 20% and the rate of pin loosing was 15% (9). Rates for pin tract infections were reported to be 11.2% to 63%, by other studies (11)(12)(13)(14). Because of the prevalence of femur and hip fractures, several studies have focused on these fractures (3,4), and its hospital costs (6).…”

Section: Introductionmentioning

confidence: 99%

“…Another study investigated the functional outcomes after hip fractures (2). Few studies also focused on patients under traction and reviewed or investigated the benefits, indications, techniques, and complications of skeletal or skin tractions (8)(9)(10) and pin tract infection rates (13,14). However, only one study was found that focused on the nurses' knowledge and practice concerning care of patient with skin traction in Iraq and reported a poor performance (16).…”

Section: Introductionmentioning

confidence: 99%

Quality of Care of Patients With Traction in Shahid Beheshti Hospital in 2012

Adib-Hajbaghery

Moradi

2013

Arch Trauma Res

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Background: With increasing incidence of traumatic fractures, the use of orthopedic intervention such as traction has increased. Inappropriate traction care may cause substantial morbidity and delay the patient rehabilitation. Objectives: This study was conducted to evaluate the quality of care for patients with traction in the orthopedic unit of Shahid-Beheshti Hospital, Kashan, Iran. Patients and Methods: This observational study was conducted on 100 patients with traumatic fractures of hip and femur bones who were admitted to Kashan Shahid-Beheshti Hospital during the first 6 months of 2012, and for whom skeletal or skin traction was performed. Data were collected using a checklist including questions about the personal characteristics and 23 items related to care for patients with tractions. These items were in three domains including caring while establishing traction, recording care and patient's education. Descriptive statistics were calculated and data were analyzed using the independent sample t-test and Pearson correlation coefficient. Results: The mean age of patients was 51.16 ± 23.28 years and 66% of them were male. In total, 47% of the patients were treated by skin traction and 53% by skeletal traction. The overall mean score of quality of care was 10.20 ± 2.64. Quality of establishing traction was good in 55% of patients, but the quality of care was poor in the domains of recording care (88%) and patient education (96%). Total mean of quality of care was significantly different between male and female patients (P < 0.02).Conclusions: The quality of care of patients with traction was not optimal. Therefore, it is necessary to improve measures in this area.

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Pin Tract Infection With Contemporary External Fixation: How Much of a Problem?

Abstract: Patients with hybrid external fixators had a similar risk of pin tract infection as patients who had unilateral fixators. The infection rate in the ring fixator group was significantly lower than the hybrid external and unilateral fixator groups.

Cited by 196 publications

References 12 publications

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

Prevention of pin tract infection with iodine-supported titanium pins

Quality of Care of Patients With Traction in Shahid Beheshti Hospital in 2012

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