Long-term results of intramedullary pinning of forearm fractures in a developing country

Patients with fractured forearms who were treated with intramedullary Rush pins/nails at Port Moresby General Hospital (Papua New Guinea) were studied.

Sixteen patients were reviewed 24 months after insertion of the pins/nails.

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.

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.