Surgical heat injury of bone.
Heat necrosis of bone is described after the insertion of Steinmann or Denham pins using a powder drill, in four patients. Troublesome infection developed in all of these patients and fracture occurred through the pin site in two. Block excision of the affected area appears to have eradicated the infection in three patients. One an did not require operation.
D000293:Adolescent; D000328:Adult; D001858:Bone Nails; D005264:Femoral Fractures / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D010020:Osteonecrosis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D013978:Tibial Fractures / Q000209:etiology / Q000601:surgery