Outcome of Intramedullary Stainless steel Rush pins for the treatment of Pediatric diaphyseal forearm bone fracture

Authors

  • Poojan Kumar Rokaya Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla
  • Mangal Rawa Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla
  • Javed Ahmad Khan Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla

DOI:

https://doi.org/10.3126/jcmsn.v12i2.15458

Keywords:

Children, Diaphyseal forearm bone, Rush pin

Abstract

Background & Objectives: Pediatric forearm bone fractures are common orthopedic injuries. Generally, these fractures can be successfully managed with closed reduction and casting however operative fixation may be required. Currently, the most common operative interventions are open reduction with plate fixation versus closed or open reduction with intramedullary fixation. Intramedullary fixation materials include Steinmann pins, Kirschner-wires, Rush pins, and elastic titanium nails. To demonstrate the outcome of Intramedullary Stainless steel Rush pins for the treatment of Pediatric diaphyseal forearm bone fracture.

Materials & Methods: This study included thirty children with diaphyseal forearm bone fracture treated with intramedullary stainless steel rush pin. Patient’s age, sex, side, mode of injury, fracture type, fixation indication and method, time of clinical and radiological union, complication rate and final range of motion were evaluated at subsequent follow up­. Clinical evaluation was done as per Price’s criteria.

Results: Among 30 patients there were 22 boys (73.3%) and 8 girls (26.6%) with a mean age of 11.8 years (Range, 5 to14 years). Twenty (66.6%) patients had right forearm fracture, 10 (33.3%) patients had left forearm fracture. Union was obtained in a mean of 6.5±1.0 weeks (range 6 to 9 weeks). According to the criteria of Price et al. an excellent result was achieved in 25 patients (83.3%) and a good result in five patients (16.6%). Out of total 30 patients six (20%) had minor complications.

Conclusion: Fixation with intramedullary stainless steel rush pin produces good to excellent results in diaphyseal forearm bone fractures in children. Based on our experience, rush pins are simple, safe, easily available and affordable to most of the patients in developing countries.

JCMS Nepal. 2016;12(2):50-4

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Published

2016-08-29

How to Cite

Rokaya, P. K., Rawa, M., & Khan, J. A. (2016). Outcome of Intramedullary Stainless steel Rush pins for the treatment of Pediatric diaphyseal forearm bone fracture. Journal of College of Medical Sciences-Nepal, 12(2), 50–54. https://doi.org/10.3126/jcmsn.v12i2.15458

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Section

Original Articles