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- Title
Rate of pin tract infection in closed reduction and percutaneous Kirschner wire stabilization for fractures of the distal radius.
- Authors
Khalid Karim, Syed Muhammad; Najjad, Kazim Rahim; Idrees, Zaki
- Abstract
Introduction: Percutaneous K-wire stabilization is a well-documented modality for stabilization of distal radius fractures especially for extra-articular fractures in the elderly that are not amenable to plaster immobilitzation alone It goes without saying that like other modalities of treatment, percutaneous Kirschner-wire stabilization also carries the risk of some complications. These include pin tract infections potentially leading to osteomyelitis, nerve injury, pin migration and tendon rupture. As there is unclearity in literature in distal radius pin tract infection. The present study is undertaken to resolve this issue and if it will be found lower, than this modality will be continued in subsequent surgeries. Method: It is a descriptive case series that was conducted between April 2013 to September 2013. Total of 66 patients were included in study with acute fracture less than 24 hours. Physical and radiological examination was done and were subsequently undergo closed reduction and percutaneous K-wire stabilization within 24 to 48 hours of admission. Patients were discharged the day following surgery and were followed in the outpatient clinics on 1, 2, 4 and 6 weeks as per standard protocol. Final outcome that is pin tract infection will be measured on 6th week . Results: Out of 66 patient, 3 patients got infected. So, in our set up infection rate were 4.55% which was low as compare to the aforementioned study. Conclusion: It seems that Percutaneous pinning fixation is a safe and clinically effective protocol for treating distal radius fractures. Furthermore, we do not bury the K wires, which allows for their removal in clinic, thus preventing risks of further operative procedures.
- Subjects
RADIUS bone injuries; INTERNAL fixation in fractures; SURGICAL site infections; NEEDLES &; pins; SURGICAL site; THERAPEUTICS
- Publication
Pakistan Journal of Surgery, 2016, Vol 32, Issue 2, p91
- ISSN
0258-8552
- Publication type
Article