Treatment of external fixation pins about the wrist: A prospective, randomized trial

Journal of Bone and Joint Surgery

Volumn 88, Issue 2, 2006, Pages 349-354

  Egol, Kenneth A ^a   Paksima, Nader ^a   Puopolo, Steven ^a   Klugman, Jeffrey ^a   Hiebert, Rudi ^a   Koval, Kenneth J ^b  

^a NYU HOSPITAL FOR JOINT DISEASES   (United States)

^b DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; CEFALEXIN; CHLORHEXIDINE; CLINDAMYCIN; HYDROGEN PEROXIDE; SODIUM CHLORIDE;

ADULT; AGE; AGED; ANTIBIOTIC THERAPY; ARTICLE; BONE GRAFT; CELLULITIS; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEVICE; DRAIN; ERYTHEMA; FEMALE; FRACTURE EXTERNAL FIXATION; FRACTURE HEALING; HUMAN; INTRAMEDULLARY NAILING; KIRSCHNER WIRE; MAJOR CLINICAL STUDY; MALE; OPEN REDUCTION; ORTHOPEDIC EQUIPMENT; OSTEOSYNTHESIS; PIN TRACK INFECTION; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; PREVALENCE; PRIORITY JOURNAL; PROSPECTIVE STUDY; PROSTHESIS LOOSENING; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; SURGICAL TECHNIQUE; WOUND CARE; WOUND COMPLICATION; WOUND DRESSING; WRIST FRACTURE; WRIST RADIOGRAPHY;

EID: 31844453329     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/JBJS.E.00011     Document Type: Article

References (30)

1. Ahlborg HG, Josefsson PO. Pin-tract complications in external fixation of fractures of the distal radius. Acta Orthop Scand. 1999;70:116-8.
2. Botte MJ, Davis JL, Rose BA, von Schroeder HP, Gellman H, Zinberg EM, Abrams RA. Complications of smooth pin fixation of fractures and dislocations in the hand and wrist. Clin Orthop Relat Res. 1992;276:194-201.
3. Green SA. Complications of external skeletal fixation. Clin Orthop Relat Res. 1983;180:109-16.
4. Green SA. Complications of external fixation, Instr Course Lect. 1984; 33:138-43.
5. Mahan J, Seligson D, Henry SL, Hynes P, Dobbins J. Factors in pin tract infections. Orthopedics. 1991;14:305-8.
6. W-Dahl A, Toksvig-Larsen S, Lindstrand A. No difference between daily and weekly pin site care: a randomized study of 50 patients with external fixation. Acta Orthop Scand. 2003;74:704-8.
7. Davies R, Holt N, Nayagam S. The care of pin sites with external fixation. J Bone Joint Surg Br. 2005;87:716-9.
8. Temple J, Santy J. Pin site care for preventing infections associated with external bone fixators and pins. Cochrane Database Syst Rev. 2004;1:CD004551.
9. W-Dahl A, Toksvig-Larsen S. Pin site care in external fixation sodium chloride or chlorhexidine solution as a cleansing agent. Arch Orthop Trauma Surg. 2004; 124:555-8.
10. Hanazaki K, Shingu K, Adachi W, Miyazaki T, Amano J. Chlorhexidine dressing for reduction in microbial colonization of the skin with central venous catheters: a prospective randomized controlled trial. J Hosp Infect. 1999;42:165-8.
11. Roberts B, Cheung D. Biopatch-a new concept in antimicrobial dressings for invasive devices. Aust Crit Care. 1998;11:16-9.
12. Shapiro JM, Bond EL, Garman JK. Use of a chlorhexidine dressing to reduce microbial colonization of epidural catheters. Anesthesiology. 1990; 73:625-31.
13. Beyer WH, editor. CRC standard probability and statistics tables and formulae. Boca Raton, Florida: CRC Press; 1991.
14. Hove LM, Furnes O, Nilsen PT, Oulie HE, Solheim E, Molster AO. Closed reduction and external fixation of unstable fractures of the distal radius. Scand J Plast Reconstr Surg Hand Surg. 1997;31:159-64.
15. Handoll HH, Madhok R. Closed reduction methods for treating distal radial fractures in adults. Cochrane Database Syst Rev. 2003;1:CD003763.
16. Glowacki KA, Weiss AP, Akelman E. Distal radius fractures: concepts and complications. Orthopedics. 1996;19:601-8.
17. Cooney WP. Distal radius fractures: external fixation proves best. J Hand Surg [Am]. 1998;23:1119-21.
18. Pennig DW. Dynamic external fixation of distal radius fractures. Hand Clin. 1993;9:587-602.
19. van Dijk JP, Laudy FG. Dynamic external fixation versus non-operative treatment of severe distal radial fractures. Injury. 1996;27:57-61.
20. Sanders RA, Keppel FL, Waldrop JI. External fixation of distal radial fractures: results and complications. J Hand Surg [Am]. 1991;16:385-91.
21. Pennig D, Gausepohl T. External fixation of the wrist. Injury. 1996;27:1-15.
22. Broos PL, Fourneau IA, Stoffelen DV. Fractures of the distal radius. Current concepts for treatment. Acta Orthop Belg. 2001;67:211-8.
23. Duncan SF, Weiland AJ. Minimally invasive reduction and osteosynthesis of articular fractures of the distal radius. Injury. 2001;32 Suppl 1:SA14-24.
24. Biyani A. Over-distraction of the radio-carpal and mid-carpal joints following external fixation of comminuted distal radial fractures. J Hand Surg [Br]. 1993; 18:506-10.
25. Ayllon-Garcia A, Davies AW, Deliss L. Radio-ulnar synostosis following external fixation. J Hand Surg [Br]. 1993;18:592-4.
26. Palmer S, Fairbank AC, Bircher M. Surgical complications and implications of external fixation of pelvic fractures. Injury. 1997;28:649-53.
27. Kuner EH, Mellios K, Berwarth H. [Treatment of complicated fracture of the distal radius with external fixator. Follow-up-complications-outcomes]. Unfallchirurg. 2002;105:199-207. German.
28. Emami A, Mjoberg B. A safer pin position for external fixation of distal radial fractures. Injury. 2000;31:749-50.
29. DeJong ES, DeBerardino TM, Brooks DE, Nelson BJ, Campbell AA, Bottoni CR, Pusateri AE, Walton RS, Guymon CH, McManus AT. Antimicrobial efficacy of external fixator pins coated with a lipid stabilized hydroxyapatite/ chlorhexidine complex to prevent pin tract infection in a goat model. J Trauma. 2001; 50:1008-14.
30. Freiberger D, Bryant J, Marino B. The effects of different central venous line dressing changes on bacterial growth in a pediatric oncology population. J Pediatr Oncol Nurs. 1992;9:3-7.