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In such cases, the area around the pin becomes red and swollen and may start to drain pus. Usually this infection clears up after removal of the pin. Breakage: K-wires may bend or break, especially if the fracture does not heal. [2] Loss of fixation: Smooth K-wires may back out of the bone losing the fixation.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
Cheesewiring can be a complication or part of a negative outcome of a procedure. Examples include tumor growth penetrating the openings in a bowel stent that was placed to open an obstructed bowel, [1] sutures used to hold a transplanted cornea in place, [2] and treatment of tendon rupture, when sutures pull through the tendon.
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After a period of dynamisation, the frame can be removed. This is a relatively simple procedure often performed under gas and air analgesic. The rings are removed by cutting the olive wires using wire cutters. The wires are then removed by first sterilising them and then pulling them through the leg using pliers.
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Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
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