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No clinical benefits using a new design of pins for external fixation: a randomized study in 50 patients operated on by the hemicallotasis technique.

W-Dahl, Annette LU and Toksvig-Larsen, Sören LU (2008) In Archives of Orthopaedic and Trauma Surgery 128(7). p.661-667
Abstract
BACKGROUND: Pin-site infection and pin loosening are complications that can cause discomfort to the patients. The purpose of present study was to evaluate pin-site infection, pain, and the use of medications using the XCaliber pin (Orthofix) with optimized thread and tip design, and the commonly used standard pin (Orthofix) during the procedure of hemicallotasis osteotomy (HCO). MATERIAL AND METHODS: Fifty patients of mean age 51 (35-66) years treated with HCO were randomized to standard pins (Orthofix) or XCaliber pins (Orthofix). Hydroxyapatite-coated pins were used in the metaphyseal bone and non-coated pins in the diaphyseal bone in both groups. Pin sites, pain, and the use of medications were evaluated weekly during the HCO. RESULTS:... (More)
BACKGROUND: Pin-site infection and pin loosening are complications that can cause discomfort to the patients. The purpose of present study was to evaluate pin-site infection, pain, and the use of medications using the XCaliber pin (Orthofix) with optimized thread and tip design, and the commonly used standard pin (Orthofix) during the procedure of hemicallotasis osteotomy (HCO). MATERIAL AND METHODS: Fifty patients of mean age 51 (35-66) years treated with HCO were randomized to standard pins (Orthofix) or XCaliber pins (Orthofix). Hydroxyapatite-coated pins were used in the metaphyseal bone and non-coated pins in the diaphyseal bone in both groups. Pin sites, pain, and the use of medications were evaluated weekly during the HCO. RESULTS: At week 7 the patients in the XCaliber group had more pain at rest [19 (22) vs. 5 (5) mm, P = 0.01] and during activity [32 (32) vs. 12 (13) mm, P = 0.02] and used more paracetamol (2,100 vs. 925 mg, P = 0.04) than those in the standard group, with similar differences, until the extraction of the pins. There was no difference in the use of antibiotics [10.5 (14.5) days (XCaliber) vs. 7 (7.5) days (standard) (P = 0.16)]. CONCLUSION: The commonly used standard pin has important clinical- and patient-related benefits. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Archives of Orthopaedic and Trauma Surgery
volume
128
issue
7
pages
661 - 667
publisher
Springer
external identifiers
  • wos:000256318500005
  • scopus:44649172405
ISSN
1434-3916
DOI
10.1007/s00402-007-0415-7
language
English
LU publication?
yes
id
0578a806-3157-4b34-a582-774a0214499d (old id 606882)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17701189&dopt=Abstract
date added to LUP
2009-06-22 14:41:10
date last changed
2017-08-27 04:04:43
@article{0578a806-3157-4b34-a582-774a0214499d,
  abstract     = {BACKGROUND: Pin-site infection and pin loosening are complications that can cause discomfort to the patients. The purpose of present study was to evaluate pin-site infection, pain, and the use of medications using the XCaliber pin (Orthofix) with optimized thread and tip design, and the commonly used standard pin (Orthofix) during the procedure of hemicallotasis osteotomy (HCO). MATERIAL AND METHODS: Fifty patients of mean age 51 (35-66) years treated with HCO were randomized to standard pins (Orthofix) or XCaliber pins (Orthofix). Hydroxyapatite-coated pins were used in the metaphyseal bone and non-coated pins in the diaphyseal bone in both groups. Pin sites, pain, and the use of medications were evaluated weekly during the HCO. RESULTS: At week 7 the patients in the XCaliber group had more pain at rest [19 (22) vs. 5 (5) mm, P = 0.01] and during activity [32 (32) vs. 12 (13) mm, P = 0.02] and used more paracetamol (2,100 vs. 925 mg, P = 0.04) than those in the standard group, with similar differences, until the extraction of the pins. There was no difference in the use of antibiotics [10.5 (14.5) days (XCaliber) vs. 7 (7.5) days (standard) (P = 0.16)]. CONCLUSION: The commonly used standard pin has important clinical- and patient-related benefits.},
  author       = {W-Dahl, Annette and Toksvig-Larsen, Sören},
  issn         = {1434-3916},
  language     = {eng},
  number       = {7},
  pages        = {661--667},
  publisher    = {Springer},
  series       = {Archives of Orthopaedic and Trauma Surgery},
  title        = {No clinical benefits using a new design of pins for external fixation: a randomized study in 50 patients operated on by the hemicallotasis technique.},
  url          = {http://dx.doi.org/10.1007/s00402-007-0415-7},
  volume       = {128},
  year         = {2008},
}