Kirschner Wire Exposure in Hand and Wrist Trauma

Henry, Mark

doi:10.1016/j.jhsa.2015.06.096

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…Minor pin site infections, requiring only increased pin site care or oral antibiotics, may have limited morbidity. However, more significant infections necessitate early wire removal leading to failure of the initial surgery, significant morbidity for the patient (Chitten et al., 2018; Henry, 2015) and cost to the hospital (Koç et al., 2012).…”

Section: Introductionmentioning

confidence: 99%

“…A review of the literature on pin site care demonstrates no consensus to the type of dressing, the method or frequency of cleaning or whether the limb should be immobilized (Henry, 2015; Kazmers et al., 2016). A protocol introduced by our limb reconstruction service has been in place for almost two decades with regards wire insertion, dressings and postoperative care for circular fine wire fixators.…”

Section: Introductionmentioning

confidence: 99%

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Reducing the incidence of pin site infection in hand surgery with the use of a protocol from Ilizarov

Solari

Kapur

Benjamin-Laing

et al. 2021

J Hand Surg Eur Vol

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Reported pin site infection rates in Kirschner wire fixation in the hand and wrist vary from 2% to 35%. In our unit we follow a strict pin site management protocol adapted from the Russian Ilizarov Scientific Centre. This study aims to identify if our current protocol reduces the incidence of pin site infection in hand and wrist surgery, and improves wire survival rates, to a level where exposed wires can be used safely. A retrospective review of 200 patients, treated with 369 percutaneous wires, in our hand surgery department over a 6-year period was carried out. Nine patients (4.5%) were diagnosed with a pin site infection with a wire survival rate of 99.5%.In our unit using our current protocol, results support the safe use of exposed wires with appropriate pin site care initiated in theatre. Adherence to this protocol allows wires to remain in-situ throughout treatment with minimal complications. Level of evidence: IV

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%