From prevention of pin-tract infection to treatment of osteomyelitis during paediatric external fixation.

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State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_628C3E695DC6
Type
Article: article from journal or magazin.
Collection
Publications
Title
From prevention of pin-tract infection to treatment of osteomyelitis during paediatric external fixation.
Journal
Journal of children's orthopaedics
Author(s)
Ceroni D., Grumetz C., Desvachez O., Pusateri S., Dunand P., Samara E.
ISSN
1863-2521 (Print)
ISSN-L
1863-2521
Publication state
Published
Issued date
12/2016
Peer-reviewed
Oui
Volume
10
Number
6
Pages
605-612
Language
english
Notes
Publication types: Review ; Journal Article
Publication Status: ppublish
Abstract
Pin-tract infection (PTI) is the most commonly expected problem, or even an almost inevitable complication, when using external fixation. Left unteated, PTI will progress unavoidably, lead to mechanical pin loosening, and ultimately cause instability of the external fixator pin-bone construct. Thus, PTI remains a clinical challenge, specifically in cases of limb lengthening or deformity correction. Standardised pin site protocols which encompass an understanding of external fixator biomechanics and meticulous surgical technique during pin and wire insertion, postoperative pin site care and pin removal could limit the incidence of major infections and treatment failures. Here we discuss concepts regarding the epidemiology, physiopathology and microbiology of PTI in paediatric populations, as well as the clinical presentations, diagnosis, classification and treatment of these infections.
Keywords
Half-pin, Infection, Instability, Pin, Tract, Wire
Pubmed
Web of science
Open Access
Yes
Create date
26/07/2021 7:55
Last modification date
27/07/2021 5:37
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