Pin site care for preventing infections associated with external bone fixators and pins

Abstract

There is very little evidence as to which pin site care regimen best reduces infection rates. Clearly there is a need for large RCTs to determine the best method of pin site management.

Pin tract infection with external fixation of pediatric fractures

“…Nevertheless, a systematic review by Temple and Santy [24] indicated a complete lack of evidence for any particular strategy of pin site care. This fact was further underlined by Holmes, Brown, and the Pin Site Care Expert Panel [25], who stated: "Whether pin site care reduces infections is unknown."…”

Distal Radius Fractures: Nonoperative and Percutaneous Pinning Treatment Options

“…The need for, and method of, pin site care remains controversial [80], but patients need to be monitored regularly for potential infection and to ensure maintenance of reduction. The timing of pin removal is also controversial, but the authors prefer to remove them between 4 to 6 weeks, with evidence of early radiographic union.…”

Care of the Orthopaedic Trauma Patient

“…Pin drainage occurs in 80% of cases and is not a cause for pin removal. 11 The surgeon will want to maintain the pins for as long as the pins are helping to knit the fracture. Importance is placed on preventing hospital acquired infections.…”