Closed Reduction and Percutaneous Pinning
What is Closed Reduction and Percutaneous Pinning?
Closed reduction and percutaneous pinning is a surgical procedure used to treat certain fractures and dislocations. "Closed reduction" means the bone fragments are realigned without making a large incision. "Percutaneous pinning" involves inserting thin metal wires or pins through the skin and into the bone to hold the fragments in place while they heal.
When is Surgery Necessary?
This procedure is commonly used for:
Displaced Fractures: When the bone fragments are out of alignment but not severely displaced.
Certain Joint Dislocations: To realign dislocated joints.
Fractures in Children: As children's bones heal quickly, this minimally invasive technique is often preferred.
Hand and Foot Fractures: Due to the small size of these bones, this technique can be very effective.
Surgical Procedure
Anesthesia: General anesthesia is typically used.
Incision: Small incisions are made at the insertion point and sometimes at the fracture site.
Fracture Reduction: The broken bone fragments are realigned.
Nail Insertion: The intramedullary nail is inserted into the marrow cavity.
Locking Screws: Locking screws are inserted at the ends of the nail to secure it to the bone.
Closure: The incisions are closed with stitches or staples.
Recovery
Anesthesia: Local, regional, or general anesthesia may be used, depending on the fracture or dislocation.
Closed Reduction: The surgeon manipulates the fractured bone or dislocated joint back into its proper position without making a large incision.
Percutaneous Pinning: Thin metal wires or pins are inserted through small punctures in the skin and into the bone to hold the fragments in place.
Imaging: X-rays are used to confirm proper alignment.
Pin Placement: The pins are left protruding from the skin.
Dressing: A sterile dressing is applied.
Disclaimer
This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.