Management of Pin Tract Infection in Pediatric Supracondylar Humerus Fractures: a Comparative Study of Three Methods

Overview

Journal Eur J Pediatr

Specialty Pediatrics

Date 2017 Mar 3

PMID 28251295

Citations 7

Authors

Di Lu

Te Wang

Hua Chen

Liao-Jun Sun

Affiliations

Soon will be listed here.

Abstract

Conclusions: All of the three methods were effective for the management of pin site infection in pediatric supracondylar humerus fractures. However, excessive frequent care as well as pin care daily had the disadvantages of child's fear and parental anxiety. What is Known: • Pin site infection is a common complication after fracture fixation and bone lengthening using percutaneous pins or wires. • Closed reduction and percutaneous K-wires fixation are the mainstay of treatment in pediatric supracondylar humeral fractures. What is New: • All of the three methods were effective for the management of pin site infection. • Excessive frequent care as well as pin care daily has the disadvantages of child's fear and parental anxiety.

Citing Articles

Nonoperative Management of Gartland Type II Supracondylar Humeral Fractures: A Comprehensive Review.

Booker M, Sumandea F, Pandya N, Swarup I Curr Rev Musculoskelet Med. 2025; 18(2):48-53.

PMID: 39777710 PMC: 11775363. DOI: 10.1007/s12178-024-09937-4.

Research: Construction and validation of elbow function prediction model after supracondylar humerus fracture in children.

Wang Q, Wang Y, He M, Cao H, Zhao J Medicine (Baltimore). 2024; 102(52):e36775.

PMID: 38206691 PMC: 10754596. DOI: 10.1097/MD.0000000000036775.

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

Liu K, Alimujiang Abulaiti , Liu Y, Cai F, Ren P, Yusufu A BMC Surg. 2021; 21(1):377.

PMID: 34702235 PMC: 8547064. DOI: 10.1186/s12893-021-01384-z.

Comparison of lateral entry and crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis of randomized controlled trials.

Zhao H, Xu S, Liu G, Zhao J, Wu S, Peng L J Orthop Surg Res. 2021; 16(1):366.

PMID: 34107972 PMC: 8188794. DOI: 10.1186/s13018-021-02505-3.

Doing Our Part to Conserve Resources: Determining Whether All Personal Protective Equipment Is Mandatory for Closed Reduction and Percutaneous Pinning of Supracondylar Humeral Fractures.

Wilson J, Schwartz A, Farley K, Devito D, Fletcher N J Bone Joint Surg Am. 2020; 102(13):e66.

PMID: 32618914 PMC: 7224617. DOI: 10.2106/JBJS.20.00567.

References

Lethaby A, Temple J, Santy-Tomlinson J . Pin site care for preventing infections associated with external bone fixators and pins. Cochrane Database Syst Rev. 2013; (12):CD004551. DOI: 10.1002/14651858.CD004551.pub3. View

Davies R, Holt N, Nayagam S . The care of pin sites with external fixation. J Bone Joint Surg Br. 2005; 87(5):716-9. DOI: 10.1302/0301-620X.87B5.15623. View

Gordon J, CARPENTER C, Schoenecker P . Pin site care during external fixation in children: results of a nihilistic approach. J Pediatr Orthop. 2000; 20(2):163-5. View

Landin L . Fracture patterns in children. Analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950-1979. Acta Orthop Scand Suppl. 1983; 202:1-109. View

Kao H, Chen M, Lee W, Yang W, Chang C . A prospective comparative study of pin site infection in pediatric supracondylar humeral fractures: daily pin care vs. no pin care. Arch Orthop Trauma Surg. 2014; 134(7):919-23. DOI: 10.1007/s00402-014-2004-x. View

Patterson M . Multicenter pin care study. Orthop Nurs. 2005; 24(5):349-60. DOI: 10.1097/00006416-200509000-00011. View

W-Dahl A, Toksvig-Larsen S, Lindstrand A . No difference between daily and weekly pin site care: a randomized study of 50 patients with external fixation. Acta Orthop Scand. 2004; 74(6):704-8. DOI: 10.1080/00016470310018234. View

Omid R, Choi P, Skaggs D . Supracondylar humeral fractures in children. J Bone Joint Surg Am. 2008; 90(5):1121-32. DOI: 10.2106/JBJS.G.01354. View

Cavusoglu A, Serhan Er M, Inal S, Ozsoy M, Dincel V, Sakaogullari A . Pin site care during circular external fixation using two different protocols. J Orthop Trauma. 2009; 23(10):724-30. DOI: 10.1097/BOT.0b013e3181abbc31. View

10.

Egol K, Paksima N, Puopolo S, Klugman J, Hiebert R, Koval K . Treatment of external fixation pins about the wrist: a prospective, randomized trial. J Bone Joint Surg Am. 2006; 88(2):349-54. DOI: 10.2106/JBJS.E.00011. View

11.

Gaston R, Cates T, Devito D, Schmitz M, Schrader T, Busch M . Medial and lateral pin versus lateral-entry pin fixation for Type 3 supracondylar fractures in children: a prospective, surgeon-randomized study. J Pediatr Orthop. 2010; 30(8):799-806. DOI: 10.1097/BPO.0b013e3181f73d59. View

12.

Camathias C, Valderrabano V, Oberli H . Routine pin tract care in external fixation is unnecessary: a randomised, prospective, blinded controlled study. Injury. 2012; 43(11):1969-73. DOI: 10.1016/j.injury.2012.08.010. View

13.

Parikh S, Lykissas M, Roshdy M, Mineo R, Wall E . Pin tract infection of operatively treated supracondylar fractures in children: long-term functional outcomes and anatomical study. J Child Orthop. 2015; 9(4):295-302. PMC: 4549348. DOI: 10.1007/s11832-015-0674-8. View

14.

Battle J, Carmichael K . Incidence of pin track infections in children's fractures treated with Kirschner wire fixation. J Pediatr Orthop. 2007; 27(2):154-7. DOI: 10.1097/bpo.0b013e3180317a22. View