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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 ...
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.
The foot is held in place with a surgical pin or with Kirschner wire. After the operation, the patient wears an above-knee cast for six weeks, followed by a below-knee cast for eighteen weeks. After the operation, the patient wears an above-knee cast for six weeks, followed by a below-knee cast for eighteen weeks.
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]
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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For routine displaced supracondylar fractures requiring percutaneous pinning, radiographic evaluation and clinical assessment can be delayed until the pin removal. Pins are only removed when there is no tenderness over the elbow region at 3 to 4 weeks. After pin removal, mobilisation of the elbow can begin. [3]