الفهرس 
Title : Comparative outcome between Titanium Elastic Nails [tens] and Kirschner wires [K- wires] in pediatric diaphyseal both bones forearm fracture
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Abstract
Background: Diaphyseal forearm fractures comprise 13% of all pediatric fractures and are the
second most common fracture type among adolescent’s .complete shaft fractures of the radius
and ulna present a management challenge due to their inherent instability. Successful
treatment of both bones forearm shaft fractures result in restoration of anatomic alignment and
full recovery of range of motion.so the intramedullary fixation of both bones is the treatment
of choice with minimal surgical dissection early mobilization and excellent union time with
less complication. We present a two center study assessing the outcome of either Kirschner
wires or Titanium elastic nails (tens) as the method of fracture stabilization in such diaphyseal
forearm fractures.
AIM: The aim of this study is to compare the outcome of k wires and titanium elastic nails
fixation in a displaced diaphyseal both bones forearm fracture regarding union time,
complication, functional outcome and stability of fixation.
Methods: In this study 21 cases were fixed with k wires and 21 cases with titanium elastic
nails .Then the duration of operative time radiographic outcomes clinical results and
postoperative complications were noted.
Result: There was no significant differences between the two groups .postoperative
complication was seen 33.33% in k wires group and 19% with nailing groups.
Conclusion: K wire and TENS both are effective in fixation of diaphyseal both bones fracture
of forearm in children as there was no significant difference between the two technique in
term of union time of fracture, postoperative complications and functional outcome. K wires
are more cost effective and can be removed in outpatient clinics where as TENS allows early
range of motion and shows less occurrence of minor complication than k-wires.