Background: Kid's body has major ability for remodeling and correcting all of
displacement that could happened on fractures.There is many ways for treatment of these
fracture,we can put them in tow guidelines:
Surgical treatment, conservative trea
tment.
Aim: Comparison between conservative treatment result and result of surgical
treatment via ESIN in treatment of midshaft forearm fractures in children, and chose the
best method that achieve healing in fast time and with less complications.
Methods: the study included 40 kids ,that have been chosen in random way from
children that came to the ER and clinics in Alassad and Tishreen university hospitals in
time between 2012 and 2017,with age of 9 to 14 years.
Results: The results were similar between conservative treatment and surgical
treatment via esin according to healing ,time at hospital ,and costs .time to return to daily
life is shorter in surgical treatment. complications were found in two methods but there
were no effect on the extremity or the child.
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.
