TY - JOUR AU - Dwivedi, Rajeev AU - Joshi, Ruban AU - Panthi, Sagar AU - Byanjankar, Subin AU - Shrestha, Rahul PY - 2015/12/31 Y2 - 2024/03/29 TI - Outcome of Both Bone Forearm Fracture Fixation in Children by Rush Nails JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 53 IS - 200 SE - Original Article DO - 10.31729/jnma.2739 UR - https://www.jnma.com.np/jnma/index.php/jnma/article/view/2739 SP - 244-249 AB - <p>Introduction: Forearm fractures are common upper limb injuries among children and usually<br />treated non-operatively. Failure of non-operative treatment, open injuries and multiple fractures<br />are the indications for surgery in paediatric both bone forearm fractures. Intramedullary nailing<br />is considered as minimally invasive procedure with excellent to fair outcomes but it is not free<br />of complications. We reviewed the results and evaluated the outcomes of IM fixation of forearm<br />fractures in children by Rush nails to understand the risks and complications associated with these<br />procedures.<br />Methods: A retrospective crossectional study of all paediatric patients treated for diaphyseal forearm<br />fractures for period of five years in a tertiary care setup. Complications were classified according<br />to modified Clavien-Dindo complication classification system. Outcomes were graded depending<br />upon complication grade along with range of motion of forearm.<br />Results: A total of 25 patients were included in the study. Mean time for fracture union was 10.56<br />weeks. Outcomes were excellent in 16 (64%), good in 7 (28%), fair in 2 (8%) patients and no poor<br />outcome was noted. Ten minor complications were seen.<br />Conclusion: Fixation of paediatric forearm fractures by intramedullary Rush nail is minimally<br />invasive procedure and outcomes are excellent to fair with acceptable complication rates.<br /><br /><strong>Keywords:</strong> <em>complication; forearm fractures; intramedullary nailing; outcome; paediatrics; Rush nail.</em></p> ER -