One common procedure for fractures is the placement of a pin. But do all fractures require this procedure? Let's discuss this further.
Broken bones, or in medical terms, fractures, can be caused by many things. The most common cause is a history of accidents or trauma with a significant impact to the area.
Fractures can be classified into two major categories: closed fractures and open fractures. The difference between these two types of fractures is that in an open fracture, part of the bone penetrates the skin. The basis of fracture management is immobilization to minimize movement in the fractured area to allow optimal healing. For minor fractures, a cast and sling can usually be used for immobilization. However, more severe cases usually require pinning.
Indications for installing the pen
Pin placement is an internal immobilization and stabilization procedure. Therefore, it is performed in the operating room. Pin placement is typically performed for the following types of fractures:
- Failed Conservative Treatment: Closed fractures can usually be treated with a cast and sling. However, if these methods fail, pinning may be necessary.
- Fragmented Fractures: Fractures that result in the bone breaking into several pieces, or fragmenting, are very difficult to immobilize and stabilize using conventional methods. Therefore, pinning is necessary to optimize the healing process.
- Fractures with a Risk of Nonunion: Fractures with poor blood flow and circulation in the area typically have a higher risk of nonunion, or failure to reunite the fractured bone. A similar situation can occur in fractures with significant displacement. Therefore, pinning may be an option.
- Open Fractures: In open fractures, there is an open wound due to the bone breaking through the skin. This can increase the risk of complications. Therefore, immediate immobilization and stabilization must be initiated, and pinning is usually a safer method.
Pen installation procedure
The doctor will conduct a series of examinations, from a medical interview and physical examination to supporting tests, and ultimately confirm a fracture diagnosis. Based on the results of these examinations, the doctor will consider further action, whether conventional treatment is sufficient or surgical intervention, such as pin placement, is necessary. Before surgery, the patient will undergo a series of examinations to ensure they are in good enough condition to undergo surgery. Because anesthesia will be administered, the patient will usually be asked to fast to reduce the risk of aspiration and respiratory failure.
Anesthesia for patients with fractures can be performed using general or regional anesthesia. This depends on the location of the fracture, the patient's condition, and various other factors considered by the treating doctor. During surgery, the doctor will attempt to reposition the broken and displaced bone. Pins or plates will then be placed to maintain bone stability. This is crucial for the bone's healing process and prevent malunion or non-union.
The surgical wound will then be sutured and closed. Post-surgery, hospitalization is usually recommended for close monitoring by the treating doctor. In addition, routine follow-up will be conducted with regular check-ups with the treating orthopedic specialist. Post-surgical rehabilitation is crucial to help restore muscle strength and function.
Written by Dr. Valda Garcia. Reviewed by Dr. Ernest Eugene.
.png)