Comparative Study of Diaphyseal Radius Ulna Fracture in Children Treated Conservatively VS Operatively With Titanium Elastic Nailing

Abstract

Introduction : Pediatric forearm fractures, particularly those of the diaphysis of the radius and ulna, are common and often result from falls or direct trauma. Management options include conservative treatment, such as casting, and operative treatment using the Titanium Elastic Nailing System (TENS).

Although conservative methods are standard, there is growing interest in the benefits of surgical intervention, particularly regarding faster recovery and improved functional outcomes. This study examines the functional results and complications associated with shaft fractures of the radius and ulna in children, comparing conservative treatment to surgical treatment using titanium elastic nailing systems (TENS).

Aim : The primary aim of this study is to evaluate and compare the clinical outcomes, including fracture union, functional recovery, and complications, of pediatric diaphyseal radius and ulna fractures treated conservatively and surgically with titanium elastic nailing systems (TENS). Materials and Methods: In this prospective study, we included children with diaphyseal fractures of the radius and ulna. The participants were split into two groups: one received conservative treatment with casting, while the other underwent surgery using titanium elastic nailing systems (TENS). Outcomes were assessed based on fracture union time, range of motion, functional scores, and complications. Follow-up data were collected at regular intervals to monitor recovery and overall success Results: The study found that the group treated with TENS had faster fracture union, better functional recovery, and fewer complications compared to the conservatively treated group. Specifically, surgical intervention led to quicker restoration of full range of motion and fewer incidences of malunion. Conclusion: Operative treatment of diaphyseal radius and ulna fractures using TENS offers superior outcomes in terms of fracture union, functional recovery, and complication rates compared to conservative treatment in pediatric patients. These findings support the increased use of TENS for managing these fractures in children.

Categories - Orthopaedics