Objective: To compare pin tract infection rate between percutaneous and buried placement of Kirschner (K-) wiring for hand fractures.
Study Design: Quasi--experimental study.
Place And Duration: Plastic, Reconstructive, Hand and Burn Surgery Unit, Liaquat National Hospital, Karachi, from September 2005--February 2006.
Patients And Methods: Patients with fractures of metacarpals and phalanges of hand were selected by non-probability purposive method. Assessment of pin tract infection by clinical examination and pin tract scoring was done by modification of Oppenheim classification. Statistical analysis was done using Chi-square test.
Results: Ten out of 55 percutaneous and 2 out of 45 buried wires were infected. The difference in infection rates of two groups was statistically significant at p<0.05. Three percutaneous, but not buried Kirschner wires, had to be removed before 4 weeks because of failure to respond to local wound care and oral antibiotics.
Conclusion: Percutaneous K- wires had significantly greater infection rate than wires which were buried deep to the skin.
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