SummaryPin and wire insertion techniques are discussed. Postoperative gauze or sponges are used for the first 2 to 3 weeks. Pin maintenance is discussed. Pins adjacent to tendons may have clear drainage. Loose wires or pins cause inflammation. Deep wire infections are treated with intravenous antibiotics and possible removal. Septic arthritis is treated by wire removal and arthrotomy. Deep fracture infection is treated by debridement.