2018, Vol. 2 Issue 2, Part A
Prospective study on functional outcome of management of pediatric quadratus fractures with rush pins
Author(s): Dhanpal Singh, A Manikandarajan and T Sathish Kumar
Abstract: Pediatric quadratus fracture can be treated with closed manipulation, reduction and cast application. Indications for operative intervention in pediatric quadratus fractures include open fractures, irreducible fractures, maluniting and unstable fractures. Varied options for intramedullary fixation include Steinmann pins, Kirschner-wires, Rush pins, and elastic titanium nails. The aim of this study is to access the functional outcome in the treatment of Pediatric quadratus fracture managed with intramedullary rush pin by closed or open reduction which was done at the Department of Orthopaedics, Rajah Muthiah Medical College & Hospital, Annamalai University, Chidambaram included 5 CHILDREN (Age between 5 to 12years) with QUADRATUS fracture treated with intramedullary stainless steel rush pin. Patient’s age, sex, side, mode of injury, fracture type, fixation indication and method, time of clinical and radiological union, complication rate and final range of motion were evaluated at subsequent follow up. Mean hospital stay was 7 days (range 5 to 9 days). Clinical evaluation was done as per Price’s criteria -followed up for minimum 3 months for radiological and functional outcome. Overall mean time of clinical functional outcome 50 days. All fractures maintained good alignment post operatively. All had excellent results with normal elbow range of motion and normal forearm rotation. In all patients good radiological union was seen in three months time. To conclude fixation with intramedullary stainless steel rush pin produces good to excellent results in quadratus fractures in children. It is an effective, simple, cheap, and convenient way for treatment in pediatric age group.