Functional outcome of diaphyseal fractures of forearm in adolescents treated with TENS

Abstract

<p class="abstract"><strong>Background:</strong> A retrospective case series study was done on forearm diaphyseal fracture in adolescents treated with TENS (titanium elastic nailing system). Purpose of the study was analysis of functional outcome of TENS in forearm diaphyseal fractures in children between 12-18 year age group.</p><p class="abstract"><strong>Methods:</strong> We retrospectively evaluated 30 patients operated by same senior surgeon during the period from March 2014 to February 2015 with closed diaphyseal forearm fractures in age group 12–18 years treated with TENS in whom closed reduction could not be achieved. Nail diameter taken as 33-40% of narrowest diameter of diaphysys were introduced proximally in ulna and distally in radius under image intensifier in closed manner. Postoperatively, patients encouraged for active shoulder, elbow and finger movements and suture removal done after 2 weeks. Patients were followed up for minimum period of one year. </p><p class="abstract"><strong>Results:</strong> In terms of union and range of motion using Anderson et al criteria 24 patients had excellent results, 4 patients had satisfactory results and one patient had poor result having non-union of ulna. Two patients had superficial infection at the nail entry site which eventually resolved. One patient lost for follow up.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that TENS in both bone forearm fractures in adolescent age group in terms of union and range of motion is a minimally invasive and effective method of fixation.</p>

Functional Outcome of Titanium Elastic Nail Fixation in Diaphyseal Fractures of Forearm in Adolescents

“…14 Our study had a male predominance, with 18 (66.7%) cases being male patients. Similar male predominance was observed in other studies, such as the one by Goyal et al, 10 which had 21 male and 9 female cases, as well as in the studies by Naorem et The most common mode of injury in our study was a fall on an outstretched hand, accounting for 70.4% of cases, followed by 22.2% due to road traffic accidents and 7.4% due to other modes of injury, such as a direct blow to the forearm or a natural fall from height. Similar findings were reported in the study by Vopat et al, 1 where a fall on an outstretched hand was the most common mode of injury in 83% of cases, and in the study by Kruppa et al, 17 where a fall on the hand accounted for 98% of cases.…”

“…The prospective clinical study was conducted in the Department of Orthopaedics, B.P. Koirala Institute of Health Sciences, Nepal, between December Goyal et al (2019), who observed that 80% of the patients undergoing TENS fixation achieved excellent functional outcomes. 10 Considering P (proportion) =80% Q (complement of P) =100-p=20% L (Permissible error) =20% of P=16 By Formula: Sample size (n) = Z 2 PQ/L 2 , where Z (95% confidence level) =1.96 = 24.01 = 24…”

“…They were followed-up in 2 weeks, 6 weeks, 12 weeks, and 24 weeks with an X-ray of the forearm that included wrist and elbow joint (AP and Lateral views) and looked for length, alignments, reduction, union, and callus formation. The clinical and functional outcomes were assessed using the criteria of Anderson et al 10,11 (Table 1)…”

Functional Outcomes of Pediatric Both Bone Fractures Fixed with Titanium Elastic Nails: : A Hospital Based Study

“…In our study, there were excellent outcomes in 91%, good outcomes in 6.4% and fair results in only 2.6% of patients based on Prince criteria. 29 Likewise, study of Goyal D et al 30 demonstrated that TENs has overall good to excellent results in adolescent forearm fractures provided the principle of three point fixation was followed and soft tissue injury was minimal.…”

Functional outcome of diaphyseal fractures of forearm in children treated with titanium elastic nailing system

“…13 Regarding gender distribution, approximately two-thirds of participants (67%) were male, aligning with similar findings in another study. 14 Analyzing the type of injury, the majority of participants (91%) had simple/closed injuries, while 9% had compound/open injuries. On the contrary, we noted that right-side involvement (61%) was higher than leftside involvement (39%) among participants.…”