Concerns About Exposed Pins After Orthopedic Surgery on Finger

Nail problems

You have a closed fracture of the right little finger, and after the doctor performed surgery to realign and suture it, two steel pins were inserted from the inside for stabilization.
On the fifth postoperative day, you noticed that one of the pins is protruding from the outer side of the right little finger, but you haven't experienced any significant impact or movement, as it has been immobilized.
Do you need to undergo another surgery to address this, or is there anything specific you should be aware of?

Yabei, 20~29 year old female. Ask Date: 2021/03/25

Dr. Chen Yongxue reply Orthopedics

Hello, there are many ways to manage a finger fracture.
For safety reasons, it is best to return to the original surgeon for treatment.
Thank you.

Reply Date: 2021/03/25

More Info

Concerns about exposed pins after orthopedic surgery, particularly in the context of finger fractures, are quite common and should be addressed with care. In your case, having undergone surgery for a closed fracture of the right little finger, the presence of exposed pins can raise several concerns regarding infection, healing, and the overall integrity of the surgical site.

Firstly, it is essential to understand that the purpose of the pins is to stabilize the fracture and allow for proper healing. However, if the pins are protruding through the skin, this can create a pathway for bacteria to enter, potentially leading to an infection. Signs of infection may include increased redness, swelling, warmth around the area, or discharge. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

In terms of whether the pins need to be removed surgically, this decision is typically made by the orthopedic surgeon based on several factors, including the degree of exposure, the presence of any signs of infection, and the overall healing progress of the fracture. If the pins are only slightly exposed and there are no signs of infection, your doctor may choose to monitor the situation closely rather than remove them immediately. However, if the exposure is significant or if there are concerns about infection, surgical intervention may be necessary to remove the pins and address any underlying issues.

While waiting for your follow-up appointment, there are several precautions you can take to minimize risks. Keep the area clean and dry, and avoid any activities that could put stress on the finger or the pins. If you have been given a splint or any other form of immobilization, ensure that you are using it as directed. Additionally, avoid soaking the finger in water, as this can increase the risk of infection.

It is also important to maintain open communication with your healthcare provider. If you have any concerns or if the condition of your finger changes, do not hesitate to reach out to your surgeon or the medical team. They can provide guidance on the best course of action and whether any additional treatments or interventions are necessary.

In summary, while exposed pins after orthopedic surgery can be concerning, the appropriate response depends on the specifics of your situation. Monitoring for signs of infection, maintaining proper care of the surgical site, and consulting with your healthcare provider are key steps in managing this issue. If you experience any unusual symptoms or have concerns about the healing process, seeking medical advice is always the best course of action.

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