Long-term results of intramedullary pinning of forearm fractures in a developing country |
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Authors: | A Wal |
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Affiliation: | Surgery Division, Nonga Base Hospital, Rabaul, Papua New Guinea. |
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Abstract: | BACKGROUND: Patients with fractured forearms who were treated with intramedullary Rush pins/nails at Port Moresby General Hospital (Papua New Guinea) were studied. METHODS: Sixteen patients were reviewed 24 months after insertion of the pins/nails. RESULTS: The results indicate that good outcomes could be achieved by the use of intramedullary pins in developing countries. There were no major specific short- or long-term complications (re-fracture or non-union). Disability in terms of pain and stiffness was noted in only three out of six patients with pins in situ. These were considered temporary disabilities. CONCLUSIONS: The pins are much cheaper than plates and screws, require minimal expertise for insertion, and removal was performed under local anesthetic as outpatient cases. They remain a valuable method for managing patients with forearm fractures in developing countries. |
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