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Pramod Lamichhane

Pramod Lamichhane

Consultant Orthopaedician

Title: Management of unstable pediatric long bones fracture with intramedullary rush pins


Dr.Pramod Lamichhane is a Senior Orthopaedic Surgeon and Head of Department of Orthopaedics and the Chair person of Alive Hospital and Trauma Centre, a busy trauma centre located 150 kilometers south west of Kathmandu. His sound knowledge in trauma developed the system of prompt treatment of trauma victims, especially open injuries with excellent results and he was awarded as the best young Orthopaedic Surgeon in 2nd Nepal Japan Annual Orthopaedic Symposium in 2013. He is sound in surgery for Spine, Pediatric and physically disabled persons. He has been organizing national and international CMEs and workshops regularly.


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.