Abstract

Diaphyseal fractures of long bones are the most commonly encountered fractures in children. Although the majority of them are managed conservatively using traction, operative treatment is preferred, especially in adolescents. Various operative modalities are available of which titanium elastic intramedullary nailing (TENS) offers better outcomes. Materials and methods: 30 children with diaphyseal fractures were admitted to the Department of Orthopedics, Andhra Medical College, Visakhapatnam, over 2 years. All of the patients were operated via TENS procedure and outcomes were assessed. Results: The majority of the patients were between 6-10 years of age. Males were commonly involved. Road traffic accidents were the most common mode of trauma. Most of the fractures were transverse type. The median period from trauma to surgery was 3.96 days. The operating time was an average of 59.9 minutes. 9.26 days on average were spent in the hospital. All of the patients in the current study exhibited full ranges of motion. No patients had rotational malalignment, anteroposterior angulation, or varus or valgus angulation. Conclusion: The TENS procedure offers minimal surgery time, minimal tissue dissection, and excellent treatment outcomes

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