One patient who underwent external fixation suffered a spontaneous fracture of the ipsilateral neck of the femur: Nursing Case Study, CU

One patient who underwent external fixation suffered a spontaneous fracture of the ipsilateral neck of the femur 3 weeks post-fixation. The external fixator was removed and replaced with a hemiarthroplasty.” Twenty-three patients in these studies suffered malunion.

Fourteen patients suffered urinary tract infections, one patient had pneumonia, one patient had deep vein thrombosis, and 2 patients had pulmonary embolisms. One hundred and three patients suffered from pin tract complications, such as pin tract infections, that were resolved with oral antibiotics.

No case of osteomyelitis was noted, and no fixation washout had to be done. There was one case of deep pin tract infection that necessitated the removal of the pins.

One significant complication noted in this review was pin tract complications. There are, at present, still few evidence-based recommendations on how to prevent pin tract infections, with different publications having different protocols on antibiotic prophylaxis and dressing changes.

Recent literature on the prevention and treatment of pin tract infections reported lower adherence of staphylococcus and higher resistance of bacterial adhesion with the use of hydroxyapatite-coated coated pins.

Another study also reported that patients who received 250 mg cefazolin injections along the pin insertion site had statistically significantly lower rates of pin tract infections. It is also thought that avoiding thermal necrosis when using power drills 26 and implanting pins without excessive skin tension reduces pin site infection rates.

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