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PAGE Chapter 1 THE PIN STORY
INDICATIONS FOR PINNING
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angle angulation ankle applied awl-reamer axis bending iron bone ends bone graft bone healing callus cancellous bone circular wires clavicle closed pinning closed procedure Colles fracture comminuted fractures compression cortex curved pin debridement deformity deltoid deltoid muscle distal fragment distraction Double pins driven upward dynamic forces epiphysis exerted external condyle extremity femur fibula forearm frac fracture line fracture surfaces head hooked head humerus immobilization inch in diameter inch pin incision injury insertion joint KES dressing knee lateral lower fragment Male medial medullary canal medullary cavity medullary pin migrate months muscle pull necessary non-union oblique fracture open reduction palpated patient periosteum pin is driven plaster splints posterior proximal fragment radius removed rotation secure Semi-open reduction short fragment soft tissue stability of fixation stable fixation straight pin stress relieved styloid end supracondylar surgeon technic three points three-point pressure tibia tion traction transfixed trochanter ture ulna upper usually weeks weight bearing