Maz Oxford Nuffield (MON) Pin Infection
Maz Oxford Nuffield (MON) Pin
Grading System ©
Labelling System ©
MINOR
Grades of
Pin
Infection
(1-3)
Grade 1
(Reaction
not
infection)
Grade 2
(Clinical
Suspicion
of
infection)
Grade 3
(Definite
Signs of
Infection)
MAJOR
Grades of
Pin
Infection
(4- 6)
Signs &
Symptoms
Treatment
Slight redness +/slight discharge
Increase local pin
care & observe
site
Increasing
redness +/- soft
tissue tenderness
+/- discharge of
serous / purulent
fluid.
Pt still able to
mobilise with
analgesia.
Increase local pin
care
Intensive redness
+/- cellulitis +/discharge of
serous / purulent
fluid + swelling +
pyrexia.
Patient unable to
mobilise on
analgesia.
All Major Grades
of Pin Infection
the Patient must
be admitted.
Swab site for
Culture &
sensitivities.
Immediately start
oral antistaphylococcal
antibiotic.
Check for
periosteal
reaction /
loosening along
pin.
Intensive local pin
care. Limb
elevation. Short
course IV
antibiotic.
Limb Reconstruction Team
Oxford Nuffield Orthopaedic
Nb There are no wires or
pins placed on the posterior
aspect of the limb
Patient Name:
Hospital Number:
NHS Number:
Most
Medial
Wire Site
on limb is
labelled
as
Number
1, moving
laterally
across the
front of
the limb
labelling
pin sites
2, 3, 4, 5
etc
GP Name:
GP Tel Number:
Date of Surgery:
Surgeon Name:
Surgery Details:
Most
proximal
Ring is
labelled
as Ring A,
moving
distally
Ring B,C,
D etc
Adjusting Frame Plan:
Is Patient MRSA colonised?
Patient Date of Birth:
Patient Age:
Weight in KG(s):
Known Allergies:
If x-ray +ve, move
to Grade 4
Limb Reconstruction Team Contact
Details
Mon-Fri 0900-1700
Call Nurse Specialist Maz Sutherland
Mobile 0782 5861951
Patient will need
urgent review by
Limb
Reconstruction
Team
Out of Hours
GP to call On-call Orthopaedic Registrar
via Switchboard
Tel 01865 741841
Wire
C3
+
Date Adjusting
of Frame?
Pin Y/N
Site
Swab
Left or Pin
Predicted
Right Number Grade of
Infection
Cultured Organism
P T E G
E E R E
N T Y N
R T T
G A H
V
A
N
C
C
I
P
R
O
F
L
U
C
L
O
X
Antibiotic Name
Length
of
course
Infection
Resolved
Date