Addition of a Second Calcaneal Pin for Spanning Ankle External Fixation.
| Autor: | Deluca M; Orthopedics, The University of Toledo College of Medicine and Life Sciences, Toledo, USA., Hoffman BA; Orthopedics, The University of Toledo College of Medicine and Life Sciences, Toledo, USA., Serdahely K; Orthopedics, The University of Toledo College of Medicine and Life Sciences, Toledo, USA., Ravi S; Orthopedics, Penn State Health Milton S. Hershey Medical Center, State College, USA., Sanford C; Orthopedics, The University of Toledo College of Medicine and Life Sciences, Toledo, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Mar 01; Vol. 16 (3), pp. e55312. Date of Electronic Publication: 2024 Mar 01 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.55312 |
| Abstrakt: | Spanning ankle external fixation is a commonly used technique for the treatment of fractures of the lower extremity. Traditionally, a single pin is placed in the safe zone of the calcaneus to provide a point of traction for fracture reduction and stabilization. Complications include infection and pin loosening with subsequent loss of fracture reduction. We aim to highlight the benefits and techniques of adding a second calcaneal pin to reduce the likelihood of infection, pin loosening, and possible loss of fracture reduction. Using the standard medial-to-lateral placement technique, two centrally threaded Schanz pins were placed within the safe zone of the calcaneus approximately 2 cm apart and were connected by clamps and a short carbon fiber rod. The remainder of the external fixation apparatus is assembled using a standard technique after obtaining fracture reduction. There is an increased incidence of infection and pin loosening with decreased bone quality and a longer duration within an external fixator. The addition of a second calcaneal pin can be used to reduce the incidence of pin loosening and associated sequela, especially in patients with decreased bone quality, thus improving outcomes for patients undergoing spanning ankle external fixation. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Deluca et al.) |
| Databáze: | MEDLINE |
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