Application of Titanium Elastic Nails for Treating Pediatric Tibial Shaft Fractures

Open Access

Abstract

Background: Pediatric tibial shaft fractures are among the most common long bone injuries, particularly in developing countries, often requiring effective surgical management for optimal outcomes. Aim of the study to evaluate the effectiveness and clinical outcomes of Titanium Elastic Nailing in pediatric tibial shaft fractures. Methods & Materials: This prospective observational study was conducted over one year at the Department of Orthopedic & Spine Surgery, Ad-Din women's Medical College Hospital and Barak PRP Medical Centre & General Hospital, Dhaka, Bangladesh, Dhaka, Bangladesh. A total of 15 pediatric patients aged 5–15 years with tibial shaft fractures were treated using Titanium Elastic Nails. Demographic data, fracture characteristics, operative details, and postoperative outcomes were recorded. Functional outcomes were assessed using Flynn criteria, and radiological parameters were evaluated for alignment and limb length discrepancy. Statistical analysis was performed using SPSS version 26 with descriptive statistics. Result: The mean age was 10.4±2.9 years, with male predominance (73.33%). Road traffic accidents (40%) were the most common cause. The mean time to union was 9.8±2.1 weeks, with most cases (86.67%) achieving union within 12 weeks. Complications were minimal, with 73.33% having no complications. Functional outcomes were excellent in 66.67% and good in 26.67% of patients. Radiologically, 86.67% had <5° angular deformity, and 93.33% had <1 cm limb length discrepancy. Conclusion: Titanium Elastic Nailing is an effective and reliable treatment for pediatric tibial shaft fractures, providing excellent functional and radiological outcomes with minimal complications.