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Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation

PURPOSE: To compare infection rates associated with 2 dressing solutions for metal-skin interfaces. METHODS: 60 patients who underwent distraction osteogenesis with external fixators were equally randomised into 2 dressing solution groups (diluted povidone-iodine vs. saline). Fixations were attained...

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Main Authors: Chan, C.K., Saw, A., Kwan, M.K., Karina, R.
Format: Article
Language:English
Published: 2009
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/11065/1/Diluted_povidone-iodine_versus_saline_for_dressing_metal-skin_interfaces_in_external_fixation.pdf
http://eprints.um.edu.my/11065/
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spelling my.um.eprints.110652014-10-13T01:14:54Z http://eprints.um.edu.my/11065/ Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation Chan, C.K. Saw, A. Kwan, M.K. Karina, R. R Medicine PURPOSE: To compare infection rates associated with 2 dressing solutions for metal-skin interfaces. METHODS: 60 patients who underwent distraction osteogenesis with external fixators were equally randomised into 2 dressing solution groups (diluted povidone-iodine vs. saline). Fixations were attained using either rigid stainless steel 5-mm diameter half pins or smooth stainless steel 1.8-mm diameter wires. Half-pin fixation had one metal-skin interface, whereas wire fixation had 2 interfaces. Patients were followed up every 2 weeks for 6 months. RESULTS: Of all 788 metal-skin interfaces, 143 (18) were infected: 72 (19) of 371 in the diluted povidone-iodine group and 71 (17) of 417 in the saline group. Dressing solution and patient age did not significantly affect infection rates. Half-pin fixation was more likely to become infected than wire fixation (25 vs 15). CONCLUSION: Saline is as effective as diluted povidone-iodine as a dressing solution for metal-skin interfaces of external fixators. Saline is recommended in view of its easy availability and lower costs. 2009 Article PeerReviewed application/pdf en http://eprints.um.edu.my/11065/1/Diluted_povidone-iodine_versus_saline_for_dressing_metal-skin_interfaces_in_external_fixation.pdf Chan, C.K. and Saw, A. and Kwan, M.K. and Karina, R. (2009) Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation. Journal of Orthopaedic Surgery, 17 (1). pp. 19-22. ISSN 1022-5536
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
language English
topic R Medicine
spellingShingle R Medicine
Chan, C.K.
Saw, A.
Kwan, M.K.
Karina, R.
Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation
description PURPOSE: To compare infection rates associated with 2 dressing solutions for metal-skin interfaces. METHODS: 60 patients who underwent distraction osteogenesis with external fixators were equally randomised into 2 dressing solution groups (diluted povidone-iodine vs. saline). Fixations were attained using either rigid stainless steel 5-mm diameter half pins or smooth stainless steel 1.8-mm diameter wires. Half-pin fixation had one metal-skin interface, whereas wire fixation had 2 interfaces. Patients were followed up every 2 weeks for 6 months. RESULTS: Of all 788 metal-skin interfaces, 143 (18) were infected: 72 (19) of 371 in the diluted povidone-iodine group and 71 (17) of 417 in the saline group. Dressing solution and patient age did not significantly affect infection rates. Half-pin fixation was more likely to become infected than wire fixation (25 vs 15). CONCLUSION: Saline is as effective as diluted povidone-iodine as a dressing solution for metal-skin interfaces of external fixators. Saline is recommended in view of its easy availability and lower costs.
format Article
author Chan, C.K.
Saw, A.
Kwan, M.K.
Karina, R.
author_facet Chan, C.K.
Saw, A.
Kwan, M.K.
Karina, R.
author_sort Chan, C.K.
title Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation
title_short Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation
title_full Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation
title_fullStr Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation
title_full_unstemmed Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation
title_sort diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation
publishDate 2009
url http://eprints.um.edu.my/11065/1/Diluted_povidone-iodine_versus_saline_for_dressing_metal-skin_interfaces_in_external_fixation.pdf
http://eprints.um.edu.my/11065/
_version_ 1643688954910736384
score 13.211869

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