Abstract
Globally, traumatic injuries of long bones shaft fractures in children are the most leading causes of fractures in children. Now a days the use of elastic stable intra-medullary nails has dramatically increased with the introduction of a variety of nails for paediatric fractures [1]. The Titanium Elastic Nail (TEN) is intended for fixation of diaphyseal fractures of long bones where the medullary canal is narrow or flexibility of the implant is paramount. The aim of this study of biological, minimally invasive fracture treatment is to achieve a level of reduction and stabilization that is appropriate to the age of the child. The biomechanical principal of the Titanium elastic nailing is based on the symmetrical bracing action of two elastic nails inserted into the metaphysis, each of which bears against the inner bone at three points. This was a prospective longitudinal study done over a period of one year in children between 5-14 yrs age groups. The complication rates associated with Titanium elastic nailing have been reported to be minimal.
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