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After sponges have been removedFrom this point on you need to keep to the following
These terms are used to describe the rods or
routine. You do not need a new toothbrush each time, but
wires that connect your ﬁxator to the bone.
make sure it is new from the start and is kept clean.
The external device that holds your fracture in
1 Do the following every morning and every
the right position until it has healed.
The hole in the skin that the bone pin passes
3 Make sure that the container and toothbrush are
4 Use water that has been boiled and left to cool.
Your surgeon has treated your fracture with an external
ﬁxator. This means that you have a number of pin sites in
7 Using the toothbrush and warm water gently
your limb where the bone screws pass through your skin
brush around each pin to remove any discharge
and attach the ﬁxator to your bone. It is these “holes” in
or crusting. When you’ve ﬁnished the pins should
the skin that you need to take care of. This sheet is not
be shiny and clean and the skin free of debris.
intended to replace your surgeon’s advice; it is an aide-
8 Wash the toothbrush and container, store the
memoire and guide to help you to help yourself.
toothbrush in the container in an antiseptic
Pin site infectionPin site infection is common and can be treated with anti-
biotics, but good pin site care will minimise the risk of It is common to be prescribed medication for pain. However,
getting an infection. At the early stages of treatment your you must be careful not to take any anti-inﬂammatory
pin sites will look red and inﬂamed, which is a natural tables such as Brufen or Voltarol. This group of tablets,
reaction to the operation, your surgeon and their medical known as NSAID’s (Non Steroidal Anti-inﬂammatory Drugs)
staff will help you to avoid this natural reaction develop are known to slow down fracture healing.
It is common to get infections around the pin sites but
Before you leave hospital you should receive advice from these usually settle quickly with the right treatment. A
the nursing staff on pin site care. You should follow their clear discharge often comes from the pins nearest your
guidance as this will help to avoid pin site infection. Taking ankle: this is just normal tissue ﬂuid. Infection causes
care of your pin sites will help to make sure that your pins redness in the skin around the pin, a discharge of pus
do not loosen and that your fracture heals properly.
(which looks milky or creamy) and pain. If you get any
of these symptoms you should ring the number below
during working hours. The doctor will see you and take a
swab of the pin site to ﬁnd out which bacteria is causing
the infection. He will probably give you some antibiotic
tablets. These only need be taken until the infection
symptoms have cleared up. The clinic nurse may decide
to dress the pin sites with gauze soaked in Betadine, an
Immediately after the operation your pin sites will be
protected with sponges. These will be removed at your
ﬁrst clinic visit. Do not disturb your sponge dressings until Smokingthey are removed in clinic.
We know that smoking causes all sorts of health prob-
lems and, unfortunately for smokers, it also slows down
or even stops bone from healing. Tibial fractures take up
to 5 weeks longer to heal in smokers, and non-unions
(when the fracture fails to heal at all) are almost always
in smokers. If you stop smoking now, your fracture will
heal quicker and you will reduce the risk of it not healing.
Developed in conjunction with the University Hospital of North Staffordshire
io-pc1 intelligent orthopaedics ltd 2005
intelligent orthopaedics ltd
stoke on trent, ST4 2DE
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