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Percutaneous pinning is a minimally invasive surgical technique commonly employed in orthopedics to stabilize fractures, particularly in the long bones of the body, such as the femur, tibia, and humerus. The procedure involves the insertion of pins, typically made of metallic materials like stainless steel or titanium, directly through the skin and into the fractured bone using fluoroscopic guidance to ensure precise placement. This technique is especially valuable in pediatric populations where fractures are frequent and often require precise alignment for proper healing. By avoiding extensive incisions, percutaneous pinning minimizes soft tissue damage, reduces the risk of infection, and promotes a quicker recovery time. The primary goal of percutaneous pinning is to maintain bone alignment during the healing process, effectively immobilizing the fracture without disrupting the surrounding muscles and ligaments. Depending on the nature and location of the fracture, various types of pins may be utilized, including K-wires, threaded screws, or intramedullary rods. The procedure typically begins with a thorough pre-operative assessment, including imaging studies such as X-rays or CT scans to determine the exact nature of the fracture. Once the decision is made to proceed with percutaneous pinning, local or general anesthesia is administered to ensure the patient's comfort. Under fluoroscopic guidance, the surgeon carefully introduces the pins through small incisions in the skin, skillfully navigating them to the fracture site. Once the pins are positioned correctly, they are advanced into the bone to stabilize the fracture fragments. After ensuring optimal alignment and stability, the surgeon verifies the results using imaging studies and then secures the pins externally, if necessary, to prevent movement. The postoperative care following percutaneous pinning involves monitoring for any signs of complications, such as infections or pin loosening, while also initiating rehabilitation practices as appropriate. The recovery timeline can vary based on factors such as the individual's age, overall health, and the initial severity of the fracture, but many patients experience a return to normal activities sooner than they would with more invasive procedures. In some cases, percutaneous pinning may be combined with other treatment modalities, such as casting or splinting, to provide additional support. It is crucial for healthcare providers to educate patients on the importance of adhering to postoperative guidelines to optimize healing and avoid any potential complications. Overall, percutaneous pinning is a highly effective technique for managing fractures, combining the benefits of reduced surgical trauma with the expedience of rehabilitation, allowing patients to regain their physical function and return to daily activities in a timely manner. As with any medical intervention, patient selection and proper technique are critical for achieving favorable outcomes and ensuring the success of the procedure.