Pramod Lamichhane
Consultant Orthopaedician
Title: Management of unstable pediatric long bones fracture with intramedullary rush pins
Biography
Biography: Pramod Lamichhane
Abstract
There are different ways of management of long bones fractures and the most common is conservative with closed reduction and plaster. With the advancing techonology, operative management is increasing in certain cases. The common methods of operative management are fixation with pin and plaster, k-wires, rush pins, kuntscher nails and plating. We treated 131 long bones fractures with intramedullary rush pins within 12 hours of injury and immobilized in slab for 1 month from August 2011 to July 2016. There were 62 both bone forearm fractures, 43 shaft of femur fractures and 26 shaft of tibia fractures. There were 25 open fractures and 4 multiple fractures. They were between 3 to 16 years of age. There were 65 males and 41 females. All the fractures united in 6 weeks to 3 months time. There were no infections, no refracture, no deformity and no any other complications with relatively less morbidity. Operative treatment with intramedullary rush pins in pediatric long bones fractures especially in multiple and open fractures is effective ,safe and with good outcome and less morbidity.