This retrospective, descriptive study examined the clinical manifestations of pin reactions in adults with extremity fracture, treated with skeletal traction and routine pin care. Data were collected from 12 case study records relative to fracture injury characteristics, pin site appearance and reaction incidence, pin care treatments, health deviation history, and routine medication therapy. This information was summarized and analyzed according to the frequency of occurrence of major patterns in the subject population. Results showed that consistent application of routine pin care with hydrogen peroxide did not prevent pin reactions in those subjects with external fixators. Findings also suggested that factors such as fracture type, kind of traction, and length of time pins were present may have had an impact on pin reaction development.
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Peggy Jones-Walton (1988) studied this question.