Fixation pins placed through liberal release incisions in anatomically-positioned, non-devitalized soft tissues will go a long way in reducing pin tract morbidity. Keep these points in mind when creating release incisions and determining pin placement location.
Points to Consider
- Incisions should be made with tissues in a neutral, relaxed position.
- Muscles should be bluntly dissected whenever possible
- A release incision at least 1 cm in length made parallel to the long axis of the bone is adequate at most pin placement sites.
- Some cases require longer release incisions or release in another plane to alleviate soft tissue tension at a pin site.
- After pin placement, move joints through their normal ranges of motion to evaluate for adequate release
The importance of liberal release incisions cannot be overemphasized. Surgeons often lean toward the-smaller-the-better but with a few simple techniques, post-op complications can be avoided.