Results of percutaneous rush pin fixation in distal third fibular fracture: A retrospective study

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Aims: Aim of this retrospective study is to evaluate the results of percutaneous rush pin fixation in distal third fibular fractures. Settings and Design: Retrospective study. Materials and Methods: This study was conducted in the Department of Orthopedic Surgery in M. M. Medical College from July 2006 to November 2010. Seventy-eight patients were recruited from emergency and outpatient department, having closed fracture of distal third fibula. Postoperatively all the patients were functionally evaluated as per Kristenson's criteria and the Weber's criteria which included objective criteria, subjective criteria, and radiological evaluation at 3, 6, and 12 months after the surgery. Results: Out of seventy-eight patients, 69 patients underwent union in 90-150 days with a mean of 110.68 days. Touch down weight bearing was started on 2 nd postoperative day. Complications found in four patients who had nonunion, and five patients had delayed union which was treated with bone graft. The results were excellent in 88.46% and good in 6.41% patients. Conclusions: I conclude that the fixation using rush pin in distal third fibular fracture is a safe and effective method of surgery that could be performed easily as well as minimal soft tissue disruption and did not require secondary surgery to remove the wire, and showed sufficient stability after fixation. Therefore, closed reduction and internal fixation with rush rods is one of the good treatment modalities of distal fibular fracture.