創外固定器装着中のピン刺入部感染に対する検討

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  • Study of Pin Track Infection During Use of External Fixation System.

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The external fixation system is used for the treatment of fracture, limb lengthening, deformity corrections, etc. Some complications are however seem, of which one especially serious one is pin track infection. In order to reduce pin track infection, we develop a new postoperative dressing method details of which and the infection rate are reported in the following.<br>Since use of the external fixation system from 1995, postoperative pin site care has been performed basically by cleaning the affected part twice a week, then the pins and the skin around the pin sites were disinfected with hibitane pledget while removing secreta and eschar. After disinfecting the affected limb and the entire external fixator using hibitane spray, and filling with univalve gauze, the affected area and the external fixation system were convered with a sponge pad at the same time, and made airtight with bandages.<br>Pin track infection was observed in 1 out of 24 cases (4.2%), which had a open femoral shaft fracture. Results show that above method helps prevent pin track infection.

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