Incidence and risk factors for pin tract infection in external fixation of fractures

2010 ◽  
Vol 9 (1) ◽  
Author(s):  
A Abalo ◽  
K Tomta ◽  
A Walla ◽  
G Ayouba ◽  
A Dossim
Keyword(s):  
Risk Factors ◽  
Tract Infection ◽  
External Fixation ◽  
Pin Tract Infection

scholarly journals Risk factors of pin tract infection during bone transport using unilateral external fixator in the treatment of bone defects

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kai Liu ◽  
Alimujiang Abulaiti ◽  
Yanshi Liu ◽  
Feiyu Cai ◽  
Peng Ren ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tract Infection ◽  
External Fixation ◽  
External Fixator ◽  
Significant Risk ◽  
Bone Transport ◽  
Living Environment ◽  
Chi Square ◽  
Clinical Appearance ◽  
Pin Tract Infection

Abstract Background The bone transport using the unilateral external fixator, one of the Ilizarov techniques, is widely practiced in lower limb reconstructive surgery. Pin tract infection (PTI), one of most common complication, has become the important postoperative problems which plague clinicians gradually. Methods A group of 130 patients who received bone transport surgery for tibia or femur defects using the unilateral external fixation (Orthofix limb reconstruction system, Verona, Italy) and met the inclusion criteria were selected for the study from 2015 to 2019. Regular pin tract care was performed twice a day, and the conditions of the pin tract were evaluated by the same observer using clinical appearance criteria. The Saw’s classification of PTI was used to assess the condition around screws. After the data were significant by the T-test or Pearson’s Chi-square test analyzed, odds ratios were calculated using logistic regression tests to describe factors associated with the diagnosis of PTI. Results Ninety-one males and thirty-nine females with a mean age of 43 years (range 28–58 years) were included in this cohort. 7816 observations were documented from 12 to 36 months, and 58 cases (44.6%) of PTI (thirty-nine cases in grade 1, 17 cases in grade 2, and 2 cases in grade 3). The top five risk factors were agricultural work (OR 1.86, CI 0.94–2.39), non-urban living (OR 1.75, CI 1.24–3.26), male (OR 1.71, CI 1.02–2.31), smoking (OR 1.53, CI 0.76–1.89), and diabetes (OR 1.26, CI 1.12–2.64). No long-term sequelae were observed at the latest clinical visit. Conclusion Occupation, gender, living environment (non-urban), smoking, and diabetes were the top five significant risk factors for PTI in the period of bone transport using unilateral external fixation. Awareness of predictable risk factors of PTI is beneficial to avoid or early detect the severe complications which can affect the effectiveness.

Pin Tract Infection With Contemporary External Fixation: How Much of a Problem?

2003 ◽  
Vol 17 (7) ◽  
pp. 503-507 ◽  
Author(s):  
A. Dushi Parameswaran ◽  
Craig S. Roberts ◽  
David Seligson ◽  
Michael Voor
Keyword(s):  
Tract Infection ◽  
External Fixation ◽  
Pin Tract Infection

Pin tract infection with external fixation of pediatric fractures

2007 ◽  
Vol 42 (9) ◽  
pp. 1584-1587 ◽  
Author(s):  
Johannes Schalamon ◽  
Thomas Petnehazy ◽  
Herwig Ainoedhofer ◽  
Ernst B. Zwick ◽  
Georg Singer ◽  
...  
Keyword(s):  
Tract Infection ◽  
External Fixation ◽  
Pediatric Fractures ◽  
Pin Tract Infection

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

2016 ◽  
Vol 10 (6) ◽  
pp. 605-612 ◽  
Author(s):  
Dimitri Ceroni ◽  
Catherine Grumetz ◽  
Odile Desvachez ◽  
Sophie Pusateri ◽  
Pierre Dunand ◽  
...  
Keyword(s):  
Tract Infection ◽  
External Fixation ◽  
Pin Tract Infection

Complete ejection of a ring sequestrum 8 years after external fixation of the tibia

2020 ◽  
Vol 13 (3) ◽  
pp. e233196
Author(s):  
Isabella Regina Timmer ◽  
Benjamin Lucas Emmink ◽  
Loek Petrus Hendrikus Leenen ◽  
Geertje Anna Maria Govaert
Keyword(s):  
Tract Infection ◽  
External Fixation ◽  
External Fixator ◽  
Pin Tract Infection

On the day of scheduled debridement for a persistent pin tract infection, a 23-year old man presented himself carrying a small bony ring sequestrum that had spontaneously ejected from his tibial wound 1 week earlier. Eight years prior to presentation, he was treated for an open crural fracture which was stabilised with an external fixator. Revision of the operation notes revealed that the placement of this external fixator was performed without predrilling.

A New Technique for Charcot’s Foot Reconstruction

2002 ◽  
Vol 92 (8) ◽  
pp. 429-436 ◽  
Author(s):  
James C. Wang ◽  
Anthony W. Le ◽  
Raymond K. Tsukuda
Keyword(s):  
Tract Infection ◽  
External Fixation ◽  
New Technique ◽  
Charcot Foot ◽  
Progressive Degeneration ◽  
Bone Stimulator ◽  
Foot Reconstruction ◽  
A New Technique ◽  
Pin Tract Infection

External fixation was used to reduce or arrest progressive degeneration in 28 patients with Charcot’s foot dislocations. Adjunctive procedures included tendo Achilles lengthening and application of an external bone stimulator. Advantages of using external fixation are that surgeries are usually performed percutaneously and that most patients are weightbearing in 10 to 14 days. There was no incidence of pin tract infection or further foot collapse, with the longest follow-up period being 24 months. The authors propose that use of external fixation with bone stimulation may be an effective alternative method of treating the Charcot foot. (J Am Podiatr Med Assoc 92(8): 429-436, 2002)

Risk Factors in Diabetes and Pregnant Women with Urinary Tract Infections Compared to Younger Aged Female.

2018 ◽  
Vol 1 (3) ◽  
pp. 26-38
Author(s):  
Abdulghani Mohamed Alsamarai ◽  
Shler Ali Khorshed
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Female Student ◽  
Mean Value ◽  
Infected Female ◽  
Significant Difference ◽  
Tract Infections

Background: Urinary tract infection is common with health impact in women and characterised by failure to treatment and recurrent episodes. Aim: This study was conducted to determine the risk factors for the development of urinary tract infection in diabetic and pregnant women in comparison to student female. Materials and methods: A prospective cross-sectional study conducted during the period from 1st of June 2015 to the end of January 2016. The population included in the study are 563 women, of them 425 were outpatients, and 138 were inpatients. Their age range between 18 and 80 years, with a mean age of 33.59±15.29 years. Urine samples collected and cultured on blood agar and MacConkey agar by spread plate technique. Bacterial colonies with different morphology were selected, purified and identified according to their biochemical characteristics using conventional standard methods. Results: In diabetic women, there were no significant difference in mean age and BMI values between culture positive and culture negative groups. However, pus cell mean scale was significantly higher [P=0.000] in women with urinary tract infection [1.76±1.25] than in those with negative culture [0.69±1.00]. In pregnant women, BMI mean value was significantly [P=0.013] lower in pregnant women with UTI [26.14] as compared to those without infection [26.99]. Pus cell scale mean value was significantly [P=0.000] higher in pregnant women with UTI [1.55] than women with negative UTI [0.85]. While there was no significant difference in mean age between UTI positive and negative pregnant women. In female student, there was a significant difference between UTI infected and non-infected in mean age [P=0.041] and pus cell scale [P=0.000]. However, BMI was not significantly different between infected and non-infected female student. Other risk factors association are variables in the 3 groups when analysed using X2, while AUC and OR show different trends of association between risk factors and UTI. Conclusion: BMI, pus cell scale, child number, delivery method, operation history and hospital setting were significantly associated with culture positivity in the 3 studied groups as determined by AUC. While OR confirmed association with pus sale scale in the 3 groups.

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