Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.
Year: 2026
Type: article
Abstract: Introduction: Pediatric femoral and tibial shaft fractures are common injuries with evolving treatment trends toward operative management. Titanium elastic nailing system (TENS) has gained popularity due to its minimally invasive nature and favorable outcomes. This study evaluates the clinical and radiological outcomes of TENS in pediatric lower-limb fractures. Materials and Methods: A hospital-based prospective analytical study was conducted on 15 children aged 5-16 years with displaced diaphyseal fractures of the femur and tibia between November 2019 and April 2021. Patients underwent TENS (retrograde for femur and antegrade for tibia). Follow-up assessments were performed at regular intervals up to 6 months, evaluating fracture union, range of motion, and complications. Results: The mean age was 8.5 years, with a male predominance (66.7%). The average time to radiological union was 10.1 ± 1.5 weeks for femur fractures and 9.4 ± 1.5 weeks for tibial fractures, with no significant difference (P > 0.05). Complications were minimal, with 80% of patients showing no complications. Limb length discrepancy (1 cm), knee stiffness due to nail irritation, and malalignment were noted in a few cases. According to Flynn criteria, 80% of patients had excellent outcomes, 13.3% satisfactory, and 6.7% poor outcomes. Conclusion: TENS is a safe, effective, and minimally invasive method for treating pediatric femoral and tibial shaft fractures. It provides stable fixation, promotes early union and mobilization, and is associated with low complication rates, making it as preferred treatment modality.
Source: PubMed
Language: English
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7225600287