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L. Hove, O. Furnes, P. Nilsen, H. Oulie, E. Solheim, A. Mölster (1997)
Closed reduction and external fixation of unstable fractures of the distal radius.Scandinavian journal of plastic and reconstructive surgery and hand surgery, 31 2
M. Timbury, J. Sleigh (2002)
Notes on Medical Microbiology
S. Duncan, A. Weiland (2001)
Minimally invasive reduction and osteosynthesis of articular fractures of the distal radius.Injury, 32 Suppl 1
A. Ayllon-Garcia, A. Davies, L. Deliss (1993)
Radio-Ulnar Synostosis Following External FixationJournal of Hand Surgery (British and European Volume), 18
J. Bryant, E. Guinan (1992)
Workshop 2: Bone Marrow Transplantation From A to ZJournal of Pediatric Oncology Nursing, 9
M. Dienst, G. Wozasek, D. Seligson (1997)
Dynamic external fixation for distal radius fractures.Clinical orthopaedics and related research, 338
M. Botte, Jaime Davis, B. Rose, H. Schroeder, H. Gellman, E. Zinberg, R. Abrams (1992)
Complications of smooth pin fixation of fractures and dislocations in the hand and wrist.Clinical orthopaedics and related research, 276
R. Sanders, Frederick Keppel, J. Waldrop (1991)
External fixation of distal radial fractures: results and complications.The Journal of hand surgery, 16 3
K. Glowacki, A. Weiss, E. Akelman (1996)
Distal radius fractures: concepts and complications.Orthopedics, 19 7
W. Beyer (1990)
CRC Standard Probability And Statistics Tables and Formulae
Paul Broos, I. Fourneau, D. Stoffelen (2001)
Fractures of the distal radius. Current concepts for treatment.Acta orthopaedica Belgica, 67 3
H. Handoll, Rajan Madhok (2003)
Closed reduction methods for treating distal radial fractures in adults.The Cochrane database of systematic reviews, 1
S. Palmer, A. Fairbank, M. Bircher (1997)
Surgical complications and implications of external fixation of pelvic fractures.Injury, 28 9-10
B. Roberts, Daisy Cheung (1998)
Biopatch--a new concept in antimicrobial dressings for invasive devices.Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 11 1
D. Pennig, T. Gausepohl (1996)
External fixation of the wrist.Injury, 27 1
A. W-Dahl, S. Toksvig-Larsen (2004)
Pin site care in external fixation sodium chloride or chlorhexidine solution as a cleansing agentArchives of Orthopaedic and Trauma Surgery, 124
E. Kuner, K. Mellios, H. Berwarth (2002)
[Treatment of complicated fracture of the distal radius with external fixator. Follow-up--complications--outcomes].Der Unfallchirurg, 105 3
Abbas Emami, Bengt Mjöberg (2000)
A safer pin position for external fixation of distal radial fractures.Injury, 31 9
R. Davies, N. Holt, S. Nayagam (2005)
The care of pin sites with external fixation.The Journal of bone and joint surgery. British volume, 87 5
Annette Lindstrand (2004)
No difference between daily and weekly pin site careActa Orthopaedica Scandinavica, 75
J. Harari (1992)
Complications of external skeletal fixation.The Veterinary clinics of North America. Small animal practice, 22 1
W. Cooney (1998)
Distal radius fractures: external fixation proves best.The Journal of hand surgery, 23 6
K. Hanazaki, K. Shingū, W. Adachi, T. Miyazaki, J. Amano (1999)
Chlorhexidine dressing for reduction in microbial colonization of the skin with central venous catheters: a prospective randomized controlled trial.The Journal of hospital infection, 42 2
Pennig Dw (1993)
Dynamic external fixation of distal radius fractures.Hand Clinics, 9
J. Mahan, D. Seligson, S. Henry, P. Hynes, J. Dobbins (1991)
Factors in pin tract infections.Orthopedics, 14 3
J. Temple, J. Santy (2004)
Pin site care for preventing infections associated with external bone fixators and pins.The Cochrane database of systematic reviews, 1
J. Dijk, F. Laudy (1996)
Dynamic external fixation versus non-operative treatment of severe distal radial fractures.Injury, 27 1
E. Dejong, T. DeBerardino, D. Brooks, B. Nelson, A. Campbell, C. Bottoni, A. Pusateri, R. Walton, C. Guymon, A. Mcmanus (2001)
Antimicrobial efficacy of external fixator pins coated with a lipid stabilized hydroxyapatite/chlorhexidine complex to prevent pin tract infection in a goat model.The Journal of trauma, 50 6
Jeffrey Shapiro, Emmett Bond, J. Garman (1990)
Use of a chlorhexidine dressing to reduce microbial colonization of epidural catheters.Anesthesiology, 73 4
S. Green (1984)
Complications of external fixation.Instructional course lectures, 33
D. Freiberger, J. Bryant, B. Marino (1992)
The Effects of Different Central Venous Line Dressing Changes on Bacterial Growth in a Pediatric Oncology PopulationJournal of Pediatric Oncology Nursing, 9
A. Biyani (1993)
Over-Distraction of the Radio-Carpal and Mid-Carpal Joints Following External Fixation of Comminuted Distal Radial FracturesJournal of Hand Surgery (British and European Volume), 18
H. Ahlborg, P. Josefsson (1999)
Pin-tract complications in external fixation of fractures of the distal radius.Acta orthopaedica Scandinavica, 70 2
Background: Pin-track infection remains one of the most troublesome complications of external fixation, in some cases compromising otherwise successful fracture treatment. Methods: One hundred and eighteen patients (120 wrists) who had been managed with the placement of an external fixation device for the treatment of a displaced, unstable, distal radial fracture were randomized into one of three treatment groups: (1) weekly dry dressing changes without pin-site care; (2) daily pin-site care with a solution of one-half normal saline solution and one-half hydrogen peroxide; and (3) treatment with the placement of chlorhexidine-impregnated discs (Biopatch) around the pins, with weekly changes of the discs by the treating surgeon. The patients were followed at weekly intervals until the external fixator was removed. Radiographs were made biweekly. The patients were evaluated with regard to (1) erythema, (2) cellulitis, (3) drainage, (4) clinical or radiographic evidence of pin-loosening, (5) the need for antibiotics, and (6) the need for pin removal before fracture-healing due to infection. Differences in complication rates among the three groups, with adjustment for patient age, gender, and the performance of an associated open procedure, were evaluated. Results: The average age of the patients was fifty-four years. Forty-seven wrists had an open procedure (either bone-grafting or open reduction and internal fixation) in addition to treatment with the external fixator. The fixators remained in place for an average of 5.9 weeks. Twenty-three patients (19%) had a complication related to the pin track, with twelve of these patients requiring oral antibiotics for the treatment of a pin-track infection. There were no significant differences among the three groups with regard to the prevalence of pin-site complications. The age of the patient was found to be significantly associated with an increased risk of postoperative pin-track complications (p = 0.04). Conclusions: We found a high rate of local wound complications around external fixation pin sites; however, most complications were minor and could be observed or treated with oral antibiotics. The prevalence of these complications was not decreased in association with the use of hydrogen peroxide wound care or chlorhexidine-impregnated dressings. On the basis of these results, we do not recommend additional wound care beyond the use of dry, sterile dressings for pin-track care after external fixation for the treatment of distal radial fractures. Level of Evidence: Therapeutic Level II . See Instructions to Authors for a complete description of levels of evidence.
Journal of Bone and Joint Surgery – Wolters Kluwer Health
Published: Feb 1, 2006
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