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A prospective randomized control trial comparing a non adherent dry dressing with a silver foam dressing in the management of Kirscher wire (K-wire) pin sites in the closed fractures of the hand.

Not Applicable
Recruiting
Conditions
The incidence of infection after K-wire insertion using a dry non-adherent and a wet wound dressing
The ease of application and removal between the two dressings
Comparison of the ease of application and removal between the two dressings
Comparison of pain assoicated with the application and removal of the two dressings
Injuries and Accidents - Fractures
Registration Number
ACTRN12609001023246
Lead Sponsor
Peninsula health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
120
Inclusion Criteria

Closed fractures of the hand distal to the wrist crease

Exclusion Criteria

Open fractures

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The wound will be photographed at each weekly outpatient appointment and assessed on a pin infection rate scale (Sims and Saleh 1996). Temperature, Full blood examination (FBE), erythrocyte sedimentation rate (ESR), c-reactive protein (CRP), X-ray will be done if the infection is graded at 3 or above.[Weekly until removal of K-wire (usually up to 8 weeks)]
Secondary Outcome Measures
NameTimeMethod
Ease of removal and application at each dressing change will be assessed using a 5 point scale (very easy through to very difficult)[At each dressing change];Pain on removal of dressing will be assessed using a visual analog pain scale ( 0 - 10)[At each dressing change];Need for cleanining of pin site will be assessed using Yes (pin site needs cleaning) or No (pin site is clean)[At each dressing change]
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