European Journal of Molecular & Clinical Medicine

Abstract

The importance of this biological and minimally invasive fracture treatment is to achieve
anatomical reduction and stabilization, which is not expected by conservative methods. The
biological principle of the elastic nail is based on symmetrical bracing action of two elastic
nails inserted into the metaphysis across the fracture site, each of which bears against the
inner bone surface at 3 points. Diaphyseal fractures of the femur and tibia accounts for 10-
15% of all paediatric fractures. This novel technique of elastic stable intramedullary nailing
(ESIN) has dramatically changed the treatment of pediatric fractures. The objective of current
study was evaluate the outcome, safety and efficacy of diaphysis fracture of femur and tibia in
children - treated by Titanium Elastic Nailing System (TENS). This observational,
interventional study was conducted in 30 patients in the age group of 6-12 years old children,
with fractures of long bones with Inclusion criteria: 6-12 years of age, Diaphyseal fractures,
closed fractures, Ipsilateral fractures, Fractures with head injury and exclusion criteria: of
Metaphyseal fractures, Compound fractures, Pathological fractures, Age group below 6 years
and above 12 years. TENS technique was used to stabilize these fractures. Patients were
followed-up clinically as well as radio-logically at 3,6,12 and 24 weeks and evaluated by Flynn
criteria. The current study had shown excellent results in 17 fractures (77.3%), good in 3
fractures (13.6%) and 2 cases has shown (9%) poor in femur fractures. Tibia results were
excellent in 5 fractures (62.5%) and good in 3 fractures (37.5%) with no poor results.
Conclusion: This study concludes that Titanium Elastic Nail System (TENS) technique is an
ideal treatment method for treatment of pediatric Diaphyseal fractures of lower limb bones.