Evaluation of Clinical Outcomes of Management of Paediatric Bone Forearm Fractures Using Titanium Elastic Nailing System: A Prospective Study of 50 Cases

Overview

Journal J Clin Diagn Res

Specialty General Medicine

Date 2017 Jan 5

PMID 28050457

Citations 10

Authors

Rajesh Kapila

Rakesh Sharma

Ankush Chugh

Mahesh Goyal

Affiliations

Soon will be listed here.

Abstract

Introduction: Forearm fractures are common injuries in children. In older children, there management is difficult due to increased chances of re-displacement after closed reduction.

Aim: The aim of this prospective study was to evaluate the clinical outcome of managing paediatric forearm fractures using Titanium Elastic Nailing System (TENS).

Materials And Methods: A total of 50 patients in the age group 6 to 14 years with fractures in both bones of forearm were managed by internal fixation using TENS and prospective follow-up were done for six months.

Results: On final evaluation in terms of symptoms and range of motion of adjacent joints using Price CT et al., criteria for results, we had excellent outcomes in 92% patients and good in 8%. There were no significant complications except for superficial pin tract infections at entry site of nail in only 6% of patients.

Conclusion: We conclude that TENS is an effective and minimally invasive method of fixation of forearm fractures with excellent results in terms of bony union and functional outcomes with minimal complications and without jeopardizing the integrity of the physis.

Citing Articles

Pediatric Forearm Fractures: Investigating the Functional Outcomes of Titanium Elastic Nailing for Unstable Both-Bone Fractures.

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A Retrospective Analysis from A Single Center Perspective On Complications After Fixing Distal Radius Fracture In Pediatric Population.

Alomran A, Alhawas A, AlMulhim A, Alfehaid M, Alumran A, Alkharashi A Med Arch. 2024; 77(5):384-390.

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Improved forearm rotation even after early conversion to below-elbow cast for non-reduced diaphyseal both-bones forearm fractures in children: a secondary 7.5-year follow up of a randomized trial.

Musters L, Diederix L, Edomskis P, Roth K, Benner J, Kraan G Acta Orthop. 2023; 94:493-498.

PMID: 37807909 PMC: 10561100. DOI: 10.2340/17453674.2023.18340.

Evaluation of the Functional Outcome of Both Bone Forearm Fractures in the Pediatric Population With the Titanium Elastic Nailing System in a Tertiary Care Center.

Somisetty T, Seenappa H, Kumar K V, Shanthappa A, P A Cureus. 2023; 15(5):e38747.

PMID: 37303327 PMC: 10250105. DOI: 10.7759/cureus.38747.

Girl predominance in trampoline-related forearm shaft fractures and their increasing incidence since 2000.

Stockell M, Pikkarainen E, Pokka T, Sinikumpu J BMC Musculoskelet Disord. 2023; 24(1):153.

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