![]() ![]() ![]() Take specimens for a microbiological study to guide appropriate antibiotic treatment if necessary.īefore changing to a definitive internal fixation an infected pin tract needs to heal.Debride the pin sites in the operating theater, using curettage and irrigation.Remove all involved pins and place new pins in a healthy location.In case of pin/wire loosening or pin tract infection, the following steps need to be taken: The patient or the carer should learn and apply the cleaning routine.Pin-insertion sites need not be protected for showering or bathing with clean water.The tibia is one of two bones that make up the lower leg, the other being the fibula. Depending on the exact location, a proximal tibial fracture may affect the stability of the knee as well as the growth plate. Dressings are not usually necessary once wound drainage has ceased. A tibia fracture refers to any crack or breaks in the tibia bone. These fractures occur in the knee end of the tibia and are also called tibial plateau fractures.No ointments or antibiotic solutions are recommended for routine pin-site care.The frequency of cleaning depends on the circumstances and varies from daily to weekly but should be done in moderation. The pins may be cleaned with saline and/or disinfectant solution/alcohol. Any crusts or exudates should be removed. ![]() The pin-insertion sites should be kept clean.The aftercare should follow the same protocol until removal of the external fixator.Nevertheless, the following points are recommended: The name derived from the shape of the fracture along the diaphysis of a long bone. Therefore no standard protocol for pin-site care can be stated here. Spiral fractures typically occur in children, with the tibia being a common site. Various aftercare protocols to prevent pin tract infection have been established by experts worldwide. Extending skin incisions to release soft-tissue tension around the pin insertion (see inspection and treatment of skin incisions).Correct insertion of pins (eg trajectory, depth) avoiding heat necrosis.Correct placement of pins (see safe zones) avoiding ligaments and tendons, eg tibia anterior.To prevent postoperative complications, pin-insertion technique is more important than any pin-care protocol: ![]()
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