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Numerous pinning techniques have been proposed, however there is not enough evidence to determine which is more effective. [1] Pinning involves the manipulation, with X-ray guidance, of the fracture into an acceptable position, and the immediate insertion of metal pins, called Kirschner wires, through the skin, into one bone fragment and across the fracture line into the other bone fragment.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
The TSF is used in both adults and children. It is used for the treatment of acute fractures, mal-unions, non-unions and congenital deformities. It can be used on both the upper and lower limbs. Specialised foot rings (which are not seen in the picture) are also available for the treatment of complex foot deformities. [citation needed]
In most cases traction is only one part of the treatment plan of a patient needing such therapy. The physician's order will contain: Type of traction; Amount of weight to be applied; Frequency of neurovascular checks if more frequent than every four hours; Site care of inserted pins, wires, or tongs; The site and care of straps, harnesses and ...
Pollard’s family called police at about 1 a.m. Tuesday to say she had not been seen since going out at about 5 p.m. Monday to search for Pepper, her cat.
Pin tract infection: Because K-wires often pass through the skin into bone they form a potential passage for bacteria from the skin to migrate into the bone and cause an infection. In such cases, the area around the pin becomes red and swollen and may start to drain pus. Usually this infection clears up after removal of the pin.
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X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...