Publication: Intramedullary Nailing for Paediatric Diaphyseal Forearm Bone Fracture
Date
2011
Authors
Parajuli, NP
Shrestha, D
Dhoju, D
Dhakal, GR
Shrestha, R
Sharma, V
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Though most of the pediatric diaphyseal forearm bone fracture can be treated
with closed reduction and cast application, indications for operative intervention in
pediatric both-bone forearm fractures include open fractures, irreducible fractures,
and unstable fractures. Controversy exists as to what amount of angulation,
displacement, and rotation constitutes an acceptable reduction.
Objective
To review union time and functional outcome of pediatric diaphyseal forearm bone
fracture managed with intramedullary rush pin by closed or open reduction.
Methods
Fifty patients with both bone fracture of forearm were treated with intramedullary
rush pin by closed or open reduction were included in the study and followed up for
minimum six months for radilological and functional outcome.
Results
Out of 50 patients, 31 underwent closed reduction and 19 underwent open reduction.
All fractures maintained good alignment post operatively. Forty seven patients had
excellent results with normal elbow range of motion and normal forearm rotation
and three patients had good results. In all patients good radiological union was
seen in three months time. Eight patients had minor complications including skin
irritation over prominent hardware, backing out of ulnar pin, superficial skin break
down with exposed hardware. Twenty-three (46%) patients had undergone implant
removal at an average of 6 months (range 4-8 months) under regional or general
anesthesia
Conclusion
Fixation with intramedullary rush pin for forearm fracture is an effective, simple,
cheap, and convenient way for treatment in pediatric age group.
KEY WORDS
pediatric forearm fracture, rush pin
Description
Parajuli NP, Shrestha D, Dhoju D, Dhakal GR, Shrestha R, Sharma V.
Department of Orthopaedics and Traumatology Dhulikhel Hospital - Kathmandu University Hospital Dhulikhel, Nepal