{"id":"https://openalex.org/W7224079233","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901","title":"Clinical, radiological and functional outcomes of pediatric diaphyseal long-bone fractures treated with Titanium Elastic Nailing System: a prospective study","display_name":"Clinical, radiological and functional outcomes of pediatric diaphyseal long-bone fractures treated with Titanium Elastic Nailing System: a prospective study","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224079233","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901"},"language":"en","primary_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263901","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4107/2523","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijoro.org/index.php/ijoro/article/download/4107/2523","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5117468646","display_name":"Arnav Pankaj Rathod","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210115678","display_name":"Dr. Panjabrao Deshmukh Memorial Medical College","ror":"https://ror.org/02b49vz59","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210115678"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Arnav Pankaj Rathod","raw_affiliation_strings":["Department of Orthopaedics, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra, India","institution_ids":["https://openalex.org/I4210115678"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087763068","display_name":"Bhushan Salunkhe","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bhushan Salunkhe","raw_affiliation_strings":["Department of Orthopaedics, Government Medical College, Amravati, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Government Medical College, Amravati, Maharashtra, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160034278","display_name":"Zaid Khan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zaid Khan","raw_affiliation_strings":["Department of Orthopaedics, PGI YCMH, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, PGI YCMH, Pune, Maharashtra, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010100226","display_name":"Abhinav Jogani","orcid":"https://orcid.org/0000-0002-5996-9428","observed_orcids":["https://orcid.org/0000-0002-5996-9428"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abhinav Jogani","raw_affiliation_strings":["Department of Orthopaedics, Government Medical College, Amravati, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Government Medical College, Amravati, Maharashtra, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086078218","display_name":"Hrishikesh Saodekar","orcid":"https://orcid.org/0000-0003-4265-8081","observed_orcids":["https://orcid.org/0000-0003-4265-8081"]},"institutions":[{"id":"https://openalex.org/I4210115678","display_name":"Dr. Panjabrao Deshmukh Memorial Medical College","ror":"https://ror.org/02b49vz59","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210115678"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Hrishikesh Saodekar","raw_affiliation_strings":["Department of Orthopaedics, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra, India","institution_ids":["https://openalex.org/I4210115678"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87077591,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"6","first_page":"1720","last_page":"1723"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/long-bone-fractures","display_name":"long bone fractures","score":0.9110000133514404},{"id":"https://openalex.org/keywords/titanium-elastic-nailing-system","display_name":"titanium elastic nailing system","score":0.906000018119812},{"id":"https://openalex.org/keywords/closed-fractures","display_name":"closed fractures","score":0.6610000133514404},{"id":"https://openalex.org/keywords/internal-fixation","display_name":"internal fixation","score":0.8159999847412109},{"id":"https://openalex.org/keywords/fracture-union","display_name":"fracture union","score":0.828000009059906},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.75},{"id":"https://openalex.org/keywords/femoral-fracture","display_name":"femoral fracture","score":0.6380000114440918},{"id":"https://openalex.org/keywords/forearm-fractures","display_name":"forearm fractures","score":0.996999979019165},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.6620000004768372},{"id":"https://openalex.org/keywords/delayed-union","display_name":"delayed union","score":0.8289999961853027}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9596999883651733},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.7038000226020813},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6820999979972839},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.6358000040054321},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.5428000092506409},{"id":"https://openalex.org/C2780660378","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Internal fixation","level":2,"score":0.5307000279426575},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.522599995136261},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.5073000192642212},{"id":"https://openalex.org/C2780214079","wikidata":"https://www.wikidata.org/wiki/Q228537","display_name":"Forearm","level":2,"score":0.48489999771118164},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.46230000257492065},{"id":"https://openalex.org/C2778951355","wikidata":"https://www.wikidata.org/wiki/Q2353265","display_name":"Diaphysis","level":3,"score":0.4361000061035156},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4307999908924103},{"id":"https://openalex.org/C2780707029","wikidata":"https://www.wikidata.org/wiki/Q1512017","display_name":"Long bone","level":2,"score":0.3409000039100647},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.33649998903274536},{"id":"https://openalex.org/C2778614594","wikidata":"https://www.wikidata.org/wiki/Q17055904","display_name":"Implant failure","level":3,"score":0.33329999446868896},{"id":"https://openalex.org/C2908564507","wikidata":"https://www.wikidata.org/wiki/Q68833","display_name":"Closed Fracture","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C506065880","wikidata":"https://www.wikidata.org/wiki/Q716","display_name":"Titanium","level":2,"score":0.3027999997138977},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.27559998631477356},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.27140000462532043},{"id":"https://openalex.org/C2779330695","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Nonunion","level":2,"score":0.2685999870300293},{"id":"https://openalex.org/C2776813713","wikidata":"https://www.wikidata.org/wiki/Q920565","display_name":"External fixation","level":3,"score":0.263700008392334},{"id":"https://openalex.org/C2992660301","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femur fracture","level":3,"score":0.2624000012874603},{"id":"https://openalex.org/C2777304102","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Osteosynthesis","level":2,"score":0.2533999979496002},{"id":"https://openalex.org/C2910444862","wikidata":"https://www.wikidata.org/wiki/Q2141048","display_name":"Bony union","level":3,"score":0.2524000108242035},{"id":"https://openalex.org/C2776692886","wikidata":"https://www.wikidata.org/wiki/Q2103168","display_name":"Polytrauma","level":2,"score":0.25220000743865967},{"id":"https://openalex.org/C2776541429","wikidata":"https://www.wikidata.org/wiki/Q165328","display_name":"Osteoporosis","level":2,"score":0.25200000405311584}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263901","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4107/2523","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263901","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263901","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4107/2523","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224079233.pdf","grobid_xml":"https://content.openalex.org/works/W7224079233.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W1553759946","https://openalex.org/W1841670724","https://openalex.org/W2014783085","https://openalex.org/W2314009658","https://openalex.org/W2943193452","https://openalex.org/W3007530117","https://openalex.org/W3010413549","https://openalex.org/W3019566689"],"related_works":["https://openalex.org/W2943193452","https://openalex.org/W3212746144","https://openalex.org/W1985391260","https://openalex.org/W7169797245","https://openalex.org/W4226166894","https://openalex.org/W4393360710","https://openalex.org/W2606947234","https://openalex.org/W4398766005","https://openalex.org/W7116757380","https://openalex.org/W2972509899"],"abstract_inverted_index":{"Background:":[0],"Diaphyseal":[1],"fractures":[2,59,96,160,174],"of":[3,10,29,43,55,97,173,190,208,214],"long":[4,98],"bones":[5,99],"represent":[6],"a":[7,23,197,230,251],"substantial":[8],"proportion":[9],"paediatric":[11,237],"skeletal":[12],"injuries.":[13],"The":[14,41,140,147,162],"Titanium":[15,226],"Elastic":[16],"Nailing":[17],"System":[18],"(TENS)":[19],"has":[20],"emerged":[21],"as":[22],"minimally":[24],"invasive,":[25],"biologically":[26],"favourable":[27,247],"method":[28],"internal":[30],"fixation":[31,101],"that":[32],"facilitates":[33],"early":[34,245],"mobilization":[35],"and":[36,52,80,113,116,125,196,211,232,250],"fracture":[37,166,243],"healing":[38],"in":[39,60,188,194,200],"children.":[40],"aim":[42],"the":[44,49,150],"study":[45,73],"is":[46,229],"to":[47,165],"assess":[48],"clinical,":[50],"radiological,":[51],"functional":[53,126,248],"outcomes":[54,127,131,185,193],"closed":[56,94],"diaphyseal":[57,95,238],"long-bone":[58,239],"children":[61,91],"aged":[62],"5\u201316":[63],"years":[64],"treated":[65],"surgically":[66],"using":[67,102,134],"TENS.":[68],"Methods:":[69],"A":[70],"prospective":[71],"interventional":[72],"was":[74,144,149,168],"carried":[75],"out":[76],"between":[77],"July":[78],"2020":[79],"August":[81],"2022":[82],"at":[83,109,117],"Government":[84],"Medical":[85],"College,":[86],"Amravati,":[87],"Maharashtra,":[88],"India.":[89],"Twenty-four":[90],"with":[92,171],"31":[93],"underwent":[100],"titanium":[103],"elastic":[104,227],"nails.":[105],"Patients":[106],"were":[107,128,132,186,203,223],"followed":[108,156],"3,":[110],"6,":[111],"12,":[112],"24":[114],"weeks,":[115,170],"9":[118],"months":[119],"postoperatively.":[120],"Fracture":[121],"union,":[122,246],"alignment,":[123],"complications,":[124],"evaluated.":[129],"Final":[130],"graded":[133],"Flynn\u2019s":[135,181],"scoring":[136],"criteria":[137,182],"(5).":[138],"Results:":[139],"mean":[141,163],"patient":[142],"age":[143],"12.20\u00b12.58":[145],"years.":[146],"femur":[148],"most":[151],"frequently":[152],"involved":[153],"bone":[154],"(37.5%),":[155],"by":[157,176],"both-bone":[158],"forearm":[159],"(29.17%).":[161],"time":[164],"union":[167],"15.12\u00b18.08":[169],"54.84%":[172],"uniting":[175],"12":[177],"weeks.":[178],"Based":[179],"on":[180],"(5),":[183],"excellent":[184],"observed":[187],"90.32%":[189],"fractures,":[191,240],"satisfactory":[192],"6.45%,":[195],"poor":[198],"outcome":[199],"3.23%.":[201],"Complications":[202],"minimal":[204],"(9.68%),":[205],"consisting":[206],"mainly":[207],"entry-site":[209],"irritation":[210],"one":[212],"case":[213],"delayed":[215],"union.":[216],"No":[217],"deep":[218],"infections":[219],"or":[220],"implant":[221],"failures":[222],"encountered.":[224],"Conclusions:":[225],"nailing":[228],"safe":[231],"effective":[233],"treatment":[234],"modality":[235],"for":[236],"providing":[241],"reliable":[242],"stabilization,":[244],"outcomes,":[249],"low":[252],"complication":[253],"rate.":[254]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-29T00:00:00"}