Prospective Study to Analyse the Role of Titanium Elastic Nailing System in Fixation of Paediatric Forearm Fractures

Background: Paediatric forearm fractures are among the most common skeletal injuries in children. While conservative management is effective in many cases, unstable diaphyseal fractures often require surgical stabilization. The Titanium Elastic Nailing System (TENS) has emerged as a minimally invasive technique that preserves biological integrity and promotes early recovery. The objective is to assess the functional and radiological outcomes of paediatric both-bone forearm fractures treated with Titanium Elastic Nailing System. Material and Methods: A prospective observational study was conducted on 30 children aged 5–15 years with displaced diaphyseal forearm fractures. Patients underwent closed reduction and internal fixation using TENS. Data regarding demographic details, fracture characteristics, radiological union, and functional outcomes (assessed using Modified Flynn criteria) were collected and analysed. Results: The most common age group was 8–10 years (33.3%), with a male predominance (73.3%). Falls while playing were the most frequent mode of injury (66.7%). Transverse fractures were the most common pattern (40%). Mean radiological union time was significantly shorter in children ≤10 years (7.88 weeks) compared to >10 years (9.14 weeks) (p < 0.001). A strong positive correlation was observed between age and union time (r = 0.751, p < 0.001). Functional outcomes were excellent in 53.3% and good in 40% of patients. Significant associations were noted between age, fracture level, and functional outcome. Conclusion: Titanium Elastic Nailing System is a safe, effective, and minimally invasive technique for managing paediatric both-bone forearm fractures, providing excellent functional and radiological outcomes with early mobilization and minimal complications.

Keywords: Titanium Elastic Nailing System (TENS), Paediatric Forearm Fractures, Intramedullary Nailing, Functional Outcome, Radiological Union, Modified Flynn Criteria.