Wound Management of Pin Sites Post Hospital Discharge

Running head: WOUND MANAGEMENT OF PIN SITES POST HOSPITAL DISCHARGE
WOUND MANAGEMENT OF PIN SITES POST HOSPITAL DISCHARGE
Name of the Student
Name of the University
Author’s Note

1WOUND MANAGEMENT OF PIN SITES POST HOSPITAL DISCHARGE
Executive Summary
Pin site percutaneous wounds are common in orthopedic procedures while treating patients
with fractures or broken bones. Due to the presence of wires, screws and other external
fixture holding devices, the wounds do not heal till the time they are removed and thereby
making the wound care of the percutaneous pin sites very critical. The study deals with
wrong medicinal intervention and erroneous pharmaceutical events in the care of the
percutaneous pin sites wound management, leading to adverse effects which are at times even
life threatening. The case study includes systemic review of an academic article which
encompasses events of the effect of pharmacists’ interventions on medically significant
medication errors post discharge from the hospital. This article successfully highlights the
gross error in medical interventions which also leads to readmission with critical issues.

2WOUND MANAGEMENT OF PIN SITES POST HOSPITAL DISCHARGE
Table of Contents
Introduction................................................................................................................................3
Background............................................................................................................................3
PICOT question......................................................................................................................4
Strategy proposal....................................................................................................................4
Literature critique.......................................................................................................................5
Article reviewed.....................................................................................................................5
Methodology used..................................................................................................................6
Author’s derivation................................................................................................................7
Limitations of the study.......................................................................................................10
Conclusion................................................................................................................................11
References................................................................................................................................12

3WOUND MANAGEMENT OF PIN SITES POST HOSPITAL DISCHARGE
Introduction
Background
Pin site wound issues are a prevalent orthopedic concern that occurs from
percutaneous insertion of wires, screws or cables (Kazmers, Fragomen & Rozbruch, 2016).
These set complicated hurdles for the usage of skeletal based traction pins, fracture pinning
done percutaneously along with external fixation that are the basic techniques used during
orthopedic fixation of broken or fractured bones (Park et al., 2015). Pin sites locations are
prone to infection due to disruption of the skin barrier. Most infections at the pin sites are
treatable and curable with regular medical intervention along with a basic oral antibiotic
course for a short period of time along with proper wound care (Andersen, 2019). Infections
which are deep tissue seated with the addition of osteomyelitis might occur in around 4% of
the cases that might lead to severe complications. Increased pain leading to loosening of pin,
use of medications for pain control along with delayed mobilization might follow due to
improper wound management of the pin sites. The removal of pins also might be required in
cases that are severe and fail to act in response to the treatment with antibiotics (Bernardo,
2001).
Given the elevated incidences of infections at the pin site locations amongst the
patients undergoing the external fixation and orthopedic surgeries, physicians must educate
the concerned patients ways to identify and recognize signs and pin site infections’ symptoms
in order to instigate treatment and initiate follow up promptly as required (Bibbo &
Brueggeman, 2017). A spectrum of infections at the pin site locations must be alottedand
distinguished by the orthopaedic surgeons to categorize patients based on risk along with