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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.
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]
After a period of dynamisation, the frame can be removed. This is a relatively simple procedure often performed under gas and air analgesic. The rings are removed by cutting the olive wires using wire cutters. The wires are then removed by first sterilising them and then pulling them through the leg using pliers.
Percutaneous pinning is considered to be less invasive, faster, and requires less skill compared to open surgery (plate fixation). [ 1 ] Disadvantages of this technique include that the stabilized fracture is less stable compared to a surgical plate, the person may require extensive limits to their motion at the early stages, and there is a ...
The surgery is often performed under local anaesthesia. Through a small incision made on the medial side of the big toe, a wedge-shaped piece of the bone is removed from the proximal phalynx. The toe is then realigned to its correct position and secured using pins, screws or a plate.
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 ...
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Debridement: radical surgical removal of necrotic or infected soft tissue and bone tissue is deemed essential for the healing process. [10] Immobilization of the fracture with internal or external fixation. Metal plates, pins, screws, and rods, that are screwed or driven into a bone, are used to stabilize the broken bone fragments. Bone ...