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Pin-site Infection: A Systematic Review of Prevention Strategies
INTRODUCTION: Circular frame fixation remains a key tool in the armamentarium of the limb reconstruction surgeon. One of the key drawbacks is the onset of pin-site infection (PSI). As a result of limited evidence and consensus of PSI prevention, a wide variation in practice remains. AIM: The princip...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Jaypee Brothers Medical Publishers
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357789/ https://www.ncbi.nlm.nih.gov/pubmed/35990183 http://dx.doi.org/10.5005/jp-journals-10080-1562 |
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author | Shields, David W Iliadis, Alexis-Dimitris Kelly, Erin Heidari, Nima Jamal, Bilal |
author_facet | Shields, David W Iliadis, Alexis-Dimitris Kelly, Erin Heidari, Nima Jamal, Bilal |
author_sort | Shields, David W |
collection | PubMed |
description | INTRODUCTION: Circular frame fixation remains a key tool in the armamentarium of the limb reconstruction surgeon. One of the key drawbacks is the onset of pin-site infection (PSI). As a result of limited evidence and consensus of PSI prevention, a wide variation in practice remains. AIM: The principal aim of this review is to synthesise primary research concerning all aspects of treatment regarded as relevant to PSI in frame constructs. MATERIALS AND METHODS: Comparative studies until week 26, 2021, were included in the trial. Studies were included that concerned patients undergoing management of a musculoskeletal condition in which pin-site care is necessary for over 4 weeks. RESULTS: Eighteen studies over a 13-year period were captured using the search strategy. Sulphadiazine and hydrogen peroxide cleansing was found to reduce PSI, with the use of low-energy fine wires and hydroxyapatite (HA)-coated pins also associated with lower infection rate. The remainder of studies found no significant improvement across interventions. CONCLUSION: There is no superiority between weekly and daily care. Low-energy pin-insertion technique had lower rates of infection. Sulphadiazine has positive results as a pin-care solution, but more research is necessary to determine the most effective care regime. Current literature is limited by absence of established definitions and by a lack of studies addressing all aspects of care relevant to PSI. HOW TO CITE THIS ARTICLE: Shields DW, Iliadis AD, Kelly E, et al. Pin-site Infection: A Systematic Review of Prevention Strategies. Strategies Trauma Limb Reconstr 2022;17(2):93–104. |
format | Online Article Text |
id | pubmed-9357789 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-93577892022-08-18 Pin-site Infection: A Systematic Review of Prevention Strategies Shields, David W Iliadis, Alexis-Dimitris Kelly, Erin Heidari, Nima Jamal, Bilal Strategies Trauma Limb Reconstr Review Article INTRODUCTION: Circular frame fixation remains a key tool in the armamentarium of the limb reconstruction surgeon. One of the key drawbacks is the onset of pin-site infection (PSI). As a result of limited evidence and consensus of PSI prevention, a wide variation in practice remains. AIM: The principal aim of this review is to synthesise primary research concerning all aspects of treatment regarded as relevant to PSI in frame constructs. MATERIALS AND METHODS: Comparative studies until week 26, 2021, were included in the trial. Studies were included that concerned patients undergoing management of a musculoskeletal condition in which pin-site care is necessary for over 4 weeks. RESULTS: Eighteen studies over a 13-year period were captured using the search strategy. Sulphadiazine and hydrogen peroxide cleansing was found to reduce PSI, with the use of low-energy fine wires and hydroxyapatite (HA)-coated pins also associated with lower infection rate. The remainder of studies found no significant improvement across interventions. CONCLUSION: There is no superiority between weekly and daily care. Low-energy pin-insertion technique had lower rates of infection. Sulphadiazine has positive results as a pin-care solution, but more research is necessary to determine the most effective care regime. Current literature is limited by absence of established definitions and by a lack of studies addressing all aspects of care relevant to PSI. HOW TO CITE THIS ARTICLE: Shields DW, Iliadis AD, Kelly E, et al. Pin-site Infection: A Systematic Review of Prevention Strategies. Strategies Trauma Limb Reconstr 2022;17(2):93–104. Jaypee Brothers Medical Publishers 2022 /pmc/articles/PMC9357789/ /pubmed/35990183 http://dx.doi.org/10.5005/jp-journals-10080-1562 Text en Copyright © 2022; The Author(s). https://creativecommons.org/licenses/by-nc-sa/4.0/© The Author(s). 2022 Open Access This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-share alike license (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as original. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Review Article Shields, David W Iliadis, Alexis-Dimitris Kelly, Erin Heidari, Nima Jamal, Bilal Pin-site Infection: A Systematic Review of Prevention Strategies |
title | Pin-site Infection: A Systematic Review of Prevention Strategies |
title_full | Pin-site Infection: A Systematic Review of Prevention Strategies |
title_fullStr | Pin-site Infection: A Systematic Review of Prevention Strategies |
title_full_unstemmed | Pin-site Infection: A Systematic Review of Prevention Strategies |
title_short | Pin-site Infection: A Systematic Review of Prevention Strategies |
title_sort | pin-site infection: a systematic review of prevention strategies |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357789/ https://www.ncbi.nlm.nih.gov/pubmed/35990183 http://dx.doi.org/10.5005/jp-journals-10080-1562 |
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