Titanium elastic nails for pediatric femur fractures: A multicenter study of early results with analysis of complications

Titanium elastic nailing is used instead of traction and casting in many Eu ropean centers, but limited availability has prevented widespread use in No rth America. Before a planned general release in America, titanium elastic nails (TENs) were trialed at several major pediatric trauma centers. This m ulticenter study is a critical analysis of early results and complications of the initial experience. Overall, TENs allowed rapid mobilization with fe w complications. The results were excellent or satisfactory in 57 of the 58 cases. No child lost rotational alignment in the postoperative period. Irr itation of the soft tissue near the knee by the nail tip occurred in four p atients, leading to a deeper infection in two cases. As indications, implan tation technique, and aftercare are refined, TENs may prove to be the ideal implant to stabilize many pediatric femur fractures, avoiding the prolonge d immobilization and complications of traction and spica casting.