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Ulus Travma Acil Cer · Sep 2016
How safe is the semi-sterile technique in the percutaneous pinning of supracondylar humerus fractures?
- Ali Turgut, Burak Önvural, Cemal Kazımoğlu, Tayfun Bacaksız, Önder Kalenderer, and Haluk Ağuş.
- Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, İzmir-Turkey. draliturgutort@yahoo.com.tr.
- Ulus Travma Acil Cer. 2016 Sep 1; 22 (5): 477-482.
BackgroundThe purpose of the present study was to evaluate safety and efficiency of the semi-sterile technique used in recent years in treatment of pediatric supracondylar humeral fractures (SHF).MethodsTotal of 712 patients who were treated for SHF via closed reduction and percutaneous fixation with semi-sterile technique were enrolled in present study. Patients were evaluated for postoperative infection and other complications. Clinical and radiological assessments were also made.ResultsIt was found that there were 52 (7.3%) pin tract infections, which responded to oral antibiotic administration and pin care without need for early pin removal (before 3 weeks). There were no deep infections. Loss of reduction was observed in 82 patients (11.5%). There were 59 iatrogenic nerve injuries (8.3%), of which 52 (7.3%) were ulnar palsy. Clinically apparent cubitus varus was observed in 29 (4.1%) patients.ConclusionThough semi-sterile technique is an effective treatment in closed percutaneous pinning of SHF, increased pin tract infection risk is a matter of concern.
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