Does routine pin re-torquing of patients wearing a halo-thoracic orthosis reduce the need for pin replacement?
| Autor: | Sue Fraser, John P Coffey |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Post surgical Orthotic Devices business.industry Rehabilitation Treatment options Bone Nails Health Professions (miscellaneous) Cervical spine immobilisation Surgery Immobilization Torque medicine Cervical Vertebrae Humans Spinal Fractures Female Halo Stress Mechanical business Case series Retrospective Studies |
| Zdroj: | Prosthetics and orthotics international. 39(4) |
| ISSN: | 1746-1553 |
| Popis: | The halo orthosis is a treatment option currently used in Australia for cervical spine immobilisation following trauma, fracture and post surgical stabilisation. In a previous study, the authors reported halo pin replacement to be a common complication. The aim of this study was to investigate the potential correlation between routine halo pin re-torquing and the incidence of pin replacement.A retrospective case series study was undertaken. A total of 258 charts were reviewed, with 170 patients included in the study. Patients were fitted with a Bremer HALO System with the initial application torque maintained by routine re-torquing throughout the duration of wear.A total of 680 pins (4 per patient) were inserted during the initial application of the halo orthoses, with only six pins replaced (0.88%) throughout the duration of the study.The findings from this study demonstrate a potential correlation between routinely re-torquing halo pins and decreasing the incidence of pin replacement.This case series study has identified a potential improvement in clinical management of patients wearing a halo-thoracic orthosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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