The principles of caring for patients with Ilizarov external fixation

Santy, Julie; Vincent, Maria; Duffield, B.

doi:10.7748/ns2009.03.23.26.50.c6835

Cited by 27 publications

(19 citation statements)

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“…The location of the pin or wire placement must also be considered. Soft tissue movement around pins and wires leads to increased risk for infection [2, 26] and any pins located in areas with considerable soft tissue, tendons and tendon sheaths are at greater risk for infection [27]. To prevent transfixing muscles in a shortened position, any muscle compartment that is traversed should be placed under stretch during the placement of the pins and wires [2].…”

Section: Pin Insertionmentioning

confidence: 99%

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Prevention and management of external fixator pin track sepsis

Ferreira

Marais

2012

Strategies in Trauma and Limb Reconstruction

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Pin track-associated complications are almost universal findings with the use of external fixation. These complications are catastrophic if it leads to the failure of the bone–pin interface and could lead to pin loosening, fracture non-union and chronic osteomyelitis. Strategies proposed for the prevention and management of pin track complications are diverse and constantly changing. Prevention of external fixation pin track infection is a complex and ongoing task that requires attention to detail, meticulous surgical technique and constant vigilance.

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Section: Pin Insertionmentioning

confidence: 99%

“…After completion of the procedure, all pin sites must be free of skin tenting and soft tissue impingement [2, 5, 26]. Sterile dressings should be placed around pin sites and held continuously in place with a small amount of pressure, to prevent skin tenting and haematoma formation [28].…”

Section: Peri-operative Managementmentioning

confidence: 99%

Prevention and management of external fixator pin track sepsis

Ferreira

Marais

2012

Strategies in Trauma and Limb Reconstruction

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“…Although diagnostic criteria vary (Santy [20]), and this may be a factor in the wide range of these quoted figures, certain factors however seem to be important. In Table 2, you find the reported infection rates in the literature, with the prevention and management measures listed.…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Hutchinson et al [19], soft tissue inflammation around the pins was almost twice as common in pre-drilled pin sites, which could be attributable to the increased soft tissue trauma associated with two passages of the wire across the tract. It has been suggested that with the use of sharp trocar points, the skin does not need pre-incision, but the skin should be incised if tenting appears at the pin site, as otherwise a fluid reservoir could develop and attract bacteria [20]. …”

Section: Discussionmentioning

confidence: 99%

Complications of transcutaneous metal devices

2011

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A high incidence of associated infection with the use of transcutaneous metal devices has been widely reported. The aims of this study were: (1) to record the incidence of pin site infection in a Plastic Surgery department, (2) to compare the infection rate in our department with published literature and (3) to identify factors that contribute to infection. A prospective cohort study was performed including all patients presenting to the plastic surgery unit with any type of transcutaneous metal in situ over a 3-month period. Patients and staff were questioned on wound hygiene and whether they had been provided with specific protocols. Our study revealed an infection rate of 24%. Patients and staff were not aware of preventive protocols. From this study, the following conclusions are made: (1) pin site infection is a major problem, and no consensus has been reached on the best way to manage pin sites, (2) there is variable knowledge of pin-site care, (3) there is a need for a clearer definition of pin-site infection and a standardised system of assessment, classification and treatment and (4) there is a need for more innovative technology in pin-site manufacture as studies reveal that the type of material used in the pins does affect infection rates.

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“…Alat tersebut terbuat dari besi yang dilengkapi dengan pin/kawat dan dimasukkan ke dalam jaringan lunak dan menembus masuk ke dalam tulang. 1 Salah satu rumah sakit yang menangani kasus fraktur dengan fiksasi eksternal adalah RSUP Fatmawati. Rumah sakit tersebut merupakan rumah sakit rujukan nasional yang memiliki Center of Excellence bidang Ortopedi dan Rehabilitasi Medik dengan 10% kasus fraktur ekstremitas bawah ditangani dengan pemasangan fiksasi eksternal.…”

Section: Pendahuluanunclassified

Body Image Klien Akibat Pemasangan Fiksasi Eksternal Ekstrimitas Bawah

Aryani

Nurhaeni

Dinarti

2014

Kesmas: National Public Health Journal

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AbstrakFiksasi eksternal adalah metode mengatasi fraktur dengan memasukkan pin ke dalam jaringan kulit, jaringan lunak dan tulang yang dihubungkan dengan rigid external frame. Akibat pemasangan fiksasi eksternal tersebut, klien seperti mendapatkan teror yang sangat menakutkan karena penempatan yang tidak biasa dan bentuk fiksasi eksternal yang besar sehingga memengaruhi body image. Tujuan penelitian ini adalah menggambarkan pengalaman body image klien akibat pemasangan fiksasi eksternal ekstremitas bawah. Metode penelitian yang dilakukan adalah penelitian kualitatif fenomenologi deskriptif ini dilakukan pada tujuh partisipan yang dirawat di RSUP Fatmawati dengan cara purposive sampling pada OktoberNovember 2012 dengan menggunakan analisis Colaizzi. Hasil penelitian menunjukkan bahwa klien dapat memiliki body image positif atau negatif yang dipengaruhi oleh diri, keluarga dan lingkungan sehingga menimbulkan dampak yang perlu diadaptasi oleh klien. Hasil penelitian ini menjadi acuan bahwa perawat harus memiliki kemampuan memberikan asuhan keperawatan yang komprehensif, termasuk yang terkait dengan masalah psikologis sehingga pemberian asuhan keperawatan akan lebih optimal dengan outcome yang lebih memuaskan. Kata kunci: Fenomenologi dekriptif, body image, fiksasi eksternal Abstract Fiksasi eksternal is a method to overcome the fracture by inserting the pin into the skin tissue, soft tissue and bone are connected by rigid external frame. As a result of the installation of a fiksasi eksternal, clients such as getting a very scary terror due to the unusual placement and shape of a large fiksasi eksternal that affect body image. The research method is descriptive phenomenological qualitative study was conducted in seven participants who were treated at Fatmawati by purposive sampling in October _ November 2012 with using the Colaizzi analysis. The results show that clients can have a positive body image or negative-that is influenced by self, family and environmental impacts that need to be adapted by the client. This Body Image Klien Akibat Pemasangan Fiksasi Eksternal Ekstrimitas Bawah Client's Body Image Because of Lower Extremities External FixationRatna Aryani, Heni Nurhaeni, Dinarti research is a reference that the nurses should have the ability to provide comprehensive nursing care, including psychological issues related to the provision of nursing care that will be optimized with a more satisfactory outcome. Keywords: Descriptive phenomenology, body image, external fixation PendahuluanFiksasi eksternal adalah alat bantu untuk menstabilkan tulang yang mengalami fraktur. Alat tersebut terbuat dari besi yang dilengkapi dengan pin/kawat dan dimasukkan ke dalam jaringan lunak dan menembus masuk ke dalam tulang. 1 Salah satu rumah sakit yang menangani kasus fraktur dengan fiksasi eksternal adalah RSUP Fatmawati. Rumah sakit tersebut merupakan rumah sakit rujukan nasional yang memiliki Center of Excellence bidang Ortopedi dan Rehabilitasi Medik dengan 10% kasus fraktur ekstremitas bawah ditangani dengan pemasangan fi...

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The principles of caring for patients with Ilizarov external fixation

Cited by 27 publications

References 0 publications

Prevention and management of external fixator pin track sepsis

Prevention and management of external fixator pin track sepsis

Complications of transcutaneous metal devices

Body Image Klien Akibat Pemasangan Fiksasi Eksternal Ekstrimitas Bawah

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