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The Journal of Bone and Joint Surgery, Vol 66, Issue 7 1092-1098, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Chronic osteomyelitis in pin tracks

SA Green and MJ Ripley

We reviewed the cases of fourteen patients with chronic osteomyelitis involving a pin track (twelve tibial, one ulnar, and one radial) after either external fixation (thirteen patients) or skeletal traction (one patient). In general, the involved pins had been inserted into cortical bone; in no patient was the pintrack infection in cancellous bone. Treatment consisting of debridement, curettage, open packing, and administration of antibiotics successfully eradicated seven of the eight Staphylococcus aureus infections but failed to cure four of the six gram-negative-rod infections. Repeat curettage with delayed fresh autogenous cancellous bone-grafting was successful in treating the more resistant infections.
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