Abstract

The recommended technique for preventing pin-site infection includes specially manufactured Ilizarov sponges and clips, retailing at £2.24 combined (Iliz sponge and disclip; Smith and Nephew Healthcare, Hull, UK). An alternative for the more scrupulous surgeon can take the form of a cut-up urinary catheter. The catheter is pierced as shown, providing ample pressure to keep the alcohol-soaked gauze against the skin (Fig. 1). A £6.63 catheter (Foley catheter; Bard Limited, West Sussex, UK) provides approximately 18 bungs at £0.37 each which, when combined with a piece of gauze at £0.03 each (NHS Logistics), equates to a saving of £1.84 per unit. Figure 1 Illustrating the use of a Foley catheter.

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