Functional and Radiological Outcomes of Pediatric Both-Bone Forearm Fractures Treated with Titanium Elastic Nailing...

Area of Science:

• Pediatric Orthopedics
• Pediatric Trauma Surgery
• Musculoskeletal Injury Management

Background:

• Diaphyseal fractures of the radius and ulna are common pediatric long-bone injuries.
• Surgical fixation is indicated for unstable or displaced fractures.
• Titanium Elastic Nailing System (TENS) is a minimally invasive option preserving periosteal circulation and enabling early mobilization.

Purpose of the Study:

• To evaluate the functional and radiological outcomes of pediatric both-bone forearm fractures treated with TENS.
• To assess the efficacy and safety of TENS in this patient population.

Main Methods:

• Prospective observational study of 20 children (4-12 years) with diaphyseal radius and ulna fractures.
• Treatment with Titanium Elastic Nailing System (TENS).
• Functional outcomes assessed using Children's Hospital of Philadelphia criteria and Price et al. grading; radiological union defined by bridging callus.

Main Results:

• Mean age 8.6 years, 65% males.
• Mean time to radiological union was 8.36 weeks.
• 75% excellent, 20% good, 5% fair functional outcomes (Price criteria); minor complications: pin-site infection (15%), entry-site irritation (5%); no nonunion or neurovascular injury.

Conclusions:

• TENS provides stable fixation and promotes early union in pediatric both-bone forearm fractures.
• Excellent functional recovery is achievable with TENS.
• The minimally invasive nature and low complication profile support TENS as a preferred treatment for unstable pediatric forearm fractures.