oa Wound Healing Southern Africa - The use of Acticoat® and Pin Sealer® to reduce the rate of pin-site sepsis with external fixators of the tibia : original research



A prospective randomised trial was performed to compare Acticoat® dressings with or without Pin Sealer™, to plain gauze soaked with Betadine® ointment with or without Pin Sealer™, as a dressing for the pin sites of external fixators. Twenty-five patients with 224 pin sites on open tibial fractures were followed-up for weekly observation for six weeks. The pin sites were graded from 1-6 in increasing order of severity and the dressings changed weekly. The average pin site grading of Acticoat® with Pin Sealer™ was 1.399, Acticoat® without Pin Sealer™ 1.452, Betadine® without Pin Sealer™ 1.646 and Betadine® with Pin Sealer™ 1.805. Statistical analysis showed that Acticoat® with Pin Sealer™ had a lower pin site grading than Betadine® with Pin Sealer™.


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