Outcome of Both Bone Forearm Fracture Fixation in Children by Rush Nails

  • Rajeev Dwivedi Department of Orthopaedics, Lumbini Medical College and Teaching Hospital, Tansen, Palpa, Nepal.
  • Ruban Joshi Department of Orthopaedics, Lumbini Medical College and Teaching Hospital, Tansen, Palpa, Nepal.
  • Sagar Panthi Department of Orthopaedics, Lumbini Medical College and Teaching Hospital, Tansen, Palpa, Nepal.
  • Subin Byanjankar Department of Orthopaedics, Lumbini Medical College and Teaching Hospital, Tansen, Palpa, Nepal.
  • Rahul Shrestha Department of Orthopaedics, Lumbini Medical College and Teaching Hospital, Tansen, Palpa, Nepal.

Abstract

Introduction: Forearm fractures are common upper limb injuries among children and usually
treated non-operatively. Failure of non-operative treatment, open injuries and multiple fractures
are the indications for surgery in paediatric both bone forearm fractures. Intramedullary nailing
is considered as minimally invasive procedure with excellent to fair outcomes but it is not free
of complications. We reviewed the results and evaluated the outcomes of IM fixation of forearm
fractures in children by Rush nails to understand the risks and complications associated with these
procedures.
Methods: A retrospective crossectional study of all paediatric patients treated for diaphyseal forearm
fractures for period of five years in a tertiary care setup. Complications were classified according
to modified Clavien-Dindo complication classification system. Outcomes were graded depending
upon complication grade along with range of motion of forearm.
Results: A total of 25 patients were included in the study. Mean time for fracture union was 10.56
weeks. Outcomes were excellent in 16 (64%), good in 7 (28%), fair in 2 (8%) patients and no poor
outcome was noted. Ten minor complications were seen.
Conclusion: Fixation of paediatric forearm fractures by intramedullary Rush nail is minimally
invasive procedure and outcomes are excellent to fair with acceptable complication rates.

Keywords: complication; forearm fractures; intramedullary nailing; outcome; paediatrics; Rush nail.

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Published
2015-12-31
How to Cite
Dwivedi, R., Joshi, R., Panthi, S., Byanjankar, S., & Shrestha, R. (2015). Outcome of Both Bone Forearm Fracture Fixation in Children by Rush Nails. Journal of Nepal Medical Association, 53(200), 244-249. https://doi.org/10.31729/jnma.2739
Section
Original Article