{
  "abstract": "Pediatric femoral and tibial shaft fractures are common injuries with evolving treatment trends toward operative management. Titanium elastic nailing system (TENS) has gained popularity due to its minimally invasive nature and favorable outcomes. This study evaluates the clinical and radiological outcomes of TENS in pediatric lower-limb fractures. A hospital-based prospective analytical study was conducted on 15 children aged 5-16 years with displaced diaphyseal fractures of the femur and tibia between November 2019 and April 2021. Patients underwent TENS (retrograde for femur and antegrade for tibia). Follow-up assessments were performed at regular intervals up to 6 months, evaluating fracture union, range of motion, and complications. The mean age was 8.5 years, with a male predominance (66.7%). The average time to radiological union was 10.1 ± 1.5 weeks for femur fractures and 9.4 ± 1.5 weeks for tibial fractures, with no significant difference (P > 0.05). Complications were minimal, with 80% of patients showing no complications. Limb length discrepancy (1 cm), knee stiffness due to nail irritation, and malalignment were noted in a few cases. According to Flynn criteria, 80% of patients had excellent outcomes, 13.3% satisfactory, and 6.7% poor outcomes. TENS is a safe, effective, and minimally invasive method for treating pediatric femoral and tibial shaft fractures. It provides stable fixation, promotes early union and mobilization, and is associated with low complication rates, making it as preferred treatment modality.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedics, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India.",
    "Department of Orthopaedics, Aarupadai Veedu Medical College and Hospital, Puducherry, India.",
    "Department of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Raja Velayudham",
      "orcid": "0009-0008-0739-4934"
    },
    {
      "affs": [
        1
      ],
      "name": "Madhavan Manjini",
      "orcid": "0009-0009-9047-1693"
    },
    {
      "affs": [
        2
      ],
      "name": "Manikandan Kumarasamy"
    },
    {
      "affs": [
        2
      ],
      "name": "Pragash Mohanen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bfk72002z44vq.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8502",
  "fulltext_url": "https://europepmc.org/articles/PMC13740999",
  "id": "bfk72002z44vq",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997122",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2732|Bone fractures and treatments"
    ]
  ],
  "openalex": "W7225600287",
  "pdf_url": "https://europepmc.org/articles/PMC13740999?pdf=render",
  "pmcid": "PMC13740999",
  "pmid": "42997122",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/bfk72002z44vq.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997122",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997122"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2732|Bone fractures and treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.",
  "title_text": "Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/bfk72002z44vq",
  "venue": "Journal of orthopaedic case reports",
  "versions": []
}