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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 ...
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. Breakage: K-wires may bend or break, especially if the fracture does not heal. [2] Loss of fixation: Smooth K-wires may back out of the bone losing the fixation.
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]
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Percutaneous pinning should be done when close manipulation fails to achieve the reduction, unstable fracture after closed reduction, neurological deficits occurs during or after the manipulation of fracture, and surgical exploration is required to determine the integrity of the blood vessels and nerves.
Chances of a slippage occurring in the other hip are 20 percent within 18 months of diagnosis of the first slippage and consequently the opposite unaffected femur may also require pinning. [citation needed] The risk of reducing this fracture includes the disruption of the blood supply to the bone.