ArticleJournal of pharmacy & bioallied sciences
Functional and Radiological Outcomes of Pediatric Both-Bone Forearm Fractures Treated with Titanium Elastic Nailing System: A Prospective Observational Study.
Article in Journal of pharmacy & bioallied sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Diaphyseal fractures of the radius and ulna are among the most frequent long-bone injuries in children. While conservative management is often effective in stable fractures, surgical fixation is preferred for unstable or displaced fractures. The Titanium Elastic Nailing System (TENS) offers a minimally invasive fixation technique that preserves periosteal circulation and promotes early mobilization. This study aimed to evaluate the functional and radiological outcomes of pediatric both-bone forearm fractures treated with TENS. Methods: A prospective observational study was conducted among 20 children (aged 4-12 years) with diaphyseal fractures of both radius and ulna treated using TENS at a tertiary hospital between January 2024 and June 2025. Functional outcomes were assessed using the Children's Hospital of Philadelphia criteria and Price Results: The mean age was 8.6 years, and 65% were males. The mean time to radiological union was 8.36 weeks (range: 6-14 weeks). Based on Price criteria, 75% of patients achieved excellent, 20% good, and 5% fair functional outcomes. Minor complications included pin-site infection (15%) and entry-site irritation (5%), with no nonunion or neurovascular injury. Conclusion: TENS provides stable fixation, early union, and excellent functional recovery in pediatric both-bone forearm fractures. Its minimally invasive nature and low complication profile make it a preferred treatment modality for unstable diaphyseal fractures in children.
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