Evaluation of Functional Outcome of Titanium Elastic Nailing in Paediatric Forearm Fracture

Author(s): Dr. Mohammad Asaduzzaman and Dr. Quazi Shahid-ul Alam

Background: Paediatric diaphyseal forearm fractures are common injuries that are routinely treated with operative stabilisation if they are unstable or displace post-operatively. Titanium Elastic Nailing System (TENS) is an appropriate minimally invasive technique providing stable fixation with maintenance of fracture biology.

Aim of the study: The aim of this study was to evaluate the functional outcome of titanium elastic nailing in Paediatric forearm fracture.

Methods: This prospective observational study was conducted at Sylhet MAG Osmani Medical College Hospital between April 2024 and March 2025. Total 22 paediatric patients presenting with diaphyseal fractures of the forearm were included in this study.

Result: The mean age was 10.5 ± 3.8 years with male preponderance (63.6%). Both bones were fractured in 72.7% of cases. The majority of the fractures healed in 6–8 weeks (68.2%), and all healed at 3 months. Excellent results were seen in 77.3%, good in 18.2%, and fair in 4.5% at final follow-up without poor results. Mean loss of pronation was 6.8 ± 3.2°, supination 8.4 ± 4.1°, and total rotation loss 15.2 ± 5.3°. Complications were rare, with entry site irritation in 9.1% and nail migration in 4.5%.

Conclusion: Titanium elastic nailing is a successful and safe surgical procedure for paediatric diaphyseal forearm fractures, with good functional results and minimal complications.