Management of tibiodiaphysial fractures in the age group of 5-15 years is
controversial ,there has been a resurgence world wide for operative fixation in general and
TENS(titanium elastic nailing system) in particular. We performed a retrospective
review
of pediatric tibial fractures treated by TENS. The data was collected from cases operated
between 2010 and 2014 at Al Assad university hospital ,Lattakia. We had treated 34
children (boys and girls) with TENS for tibial shaft fractures. Average load of age was 11
years(range 5-15 years).All fractures were radiographically united at a mean of 7,5 weeks
(range 5-10) weeks.The nails were removed mean of 22 weeks (range 6-31 weeks)
postoperatively. At follow up we had found leg length discrepancy of 1 cm in one child
and 10 degrees of internal rotational deformity in another. No angular deformity had
occured.Titanium elastic nailing seems to be a safe and effective method for treatment of
tibial shaft fractures in childreen between 5 and 15 years of age.
