{"id":"https://openalex.org/W7225600287","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8502","title":"Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.","display_name":"Functional Outcome of Titanium Elastic Nailing in Pediatric Lower-Limb Fractures: A Prospective Study.","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225600287","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8502","pmid":"https://pubmed.ncbi.nlm.nih.gov/42997122","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13740999"},"language":"en","primary_location":{"id":"pmid:42997122","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8502","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42997122","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13740999/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5117861637","display_name":"Raja Velayudham","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210119048","display_name":"Sri Venkateshwaraa Medical College Hospital and Research Centre","ror":"https://ror.org/01qybkd90","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210119048"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Raja Velayudham","raw_affiliation_strings":["Department of Orthopaedics, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India","institution_ids":["https://openalex.org/I4210119048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161281588","display_name":"Madhavan Manjini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I222471920","display_name":"Aarupadai Veedu Medical College & Hospital","ror":"https://ror.org/02jz4rx70","country_code":"IN","type":"education","lineage":["https://openalex.org/I222471920"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Madhavan Manjini","raw_affiliation_strings":["Department of Orthopaedics, Aarupadai Veedu Medical College and Hospital, Puducherry, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Aarupadai Veedu Medical College and Hospital, Puducherry, India","institution_ids":["https://openalex.org/I222471920"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053654384","display_name":"Manikandan Kumarasamy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210141780","display_name":"Sri Manakula Vinayagar Medical College and Hospital","ror":"https://ror.org/04ckgfr29","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210116967","https://openalex.org/I4210141780"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Manikandan Kumarasamy","raw_affiliation_strings":["Department of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India","institution_ids":["https://openalex.org/I4210141780"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057166910","display_name":"Pragash Mohanen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210141780","display_name":"Sri Manakula Vinayagar Medical College and Hospital","ror":"https://ror.org/04ckgfr29","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210116967","https://openalex.org/I4210141780"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Pragash Mohanen","raw_affiliation_strings":["Department of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India","institution_ids":["https://openalex.org/I4210141780"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88441482,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"11","first_page":"373","last_page":"378"},"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/2732","display_name":"Orthopedics and Sports Medicine"},"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/2732","display_name":"Orthopedics and Sports Medicine"},"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":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"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":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9212999939918518},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.7281000018119812},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.715399980545044},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6873999834060669},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.583299994468689},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.517799973487854},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4255000054836273},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.39719998836517334},{"id":"https://openalex.org/C3018917446","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Delayed union","level":3,"score":0.38370001316070557},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.36500000953674316},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.2809999883174896},{"id":"https://openalex.org/C2992660301","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femur fracture","level":3,"score":0.26489999890327454},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.26179999113082886},{"id":"https://openalex.org/C60465272","wikidata":"https://www.wikidata.org/wiki/Q494478","display_name":"Range of motion","level":2,"score":0.25360000133514404},{"id":"https://openalex.org/C3018712777","wikidata":"https://www.wikidata.org/wiki/Q17081678","display_name":"Femoral shaft","level":3,"score":0.2508000135421753}],"mesh":[],"locations_count":2,"locations":[{"id":"pmid:42997122","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8502","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42997122","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13740999","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8502","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13740999/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13740999","doi":"https://doi.org/10.13107/jocr.2026.v16.i11.8502","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13740999/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W85797168"],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Pediatric":[1],"femoral":[2,207],"and":[3,31,39,49,71,76,85,106,134,170,190,200,208,219,221],"tibial":[4,140,209],"shaft":[5,210],"fractures":[6,67,133],"are":[7],"common":[8],"injuries":[9],"with":[10,64,115,142,152,224],"evolving":[11],"treatment":[12,232],"trends":[13],"toward":[14],"operative":[15],"management.":[16],"Titanium":[17],"elastic":[18],"nailing":[19],"system":[20],"(TENS)":[21],"has":[22],"gained":[23],"popularity":[24],"due":[25,166],"to":[26,97,123,167,179],"its":[27],"minimally":[28,201],"invasive":[29,202],"nature":[30],"favorable":[32],"outcomes.":[33,193],"This":[34],"study":[35,55],"evaluates":[36],"the":[37,69],"clinical":[38],"radiological":[40,124],"outcomes":[41],"of":[42,68,104,154,183],"TENS":[43,81,195],"in":[44,174],"pediatric":[45,206],"lower-limb":[46],"fractures.":[47,211],"Materials":[48],"Methods:":[50],"A":[51],"hospital-based":[52],"prospective":[53],"analytical":[54],"was":[56,112,126],"conducted":[57],"on":[58],"15":[59],"children":[60],"aged":[61],"5-16":[62],"years":[63],"displaced":[65],"diaphyseal":[66],"femur":[70,84,132],"tibia":[72],"between":[73],"November":[74],"2019":[75],"April":[77],"2021.":[78],"Patients":[79],"underwent":[80],"(retrograde":[82],"for":[83,87,131,139,204],"antegrade":[86],"tibia).":[88],"Follow-up":[89],"assessments":[90],"were":[91,150,172],"performed":[92],"at":[93],"regular":[94],"intervals":[95],"up":[96],"6":[98],"months,":[99],"evaluating":[100],"fracture":[101],"union,":[102],"range":[103],"motion,":[105],"complications.":[107,158],"Results:":[108],"The":[109,120],"mean":[110],"age":[111],"8.5":[113],"years,":[114],"a":[116,175,197],"male":[117],"predominance":[118],"(66.7%).":[119],"average":[121],"time":[122],"union":[125,218],"10.1":[127],"\u00b1":[128,136],"1.5":[129,137],"weeks":[130,138],"9.4":[135],"fractures,":[141],"no":[143,157],"significant":[144],"difference":[145],"(P":[146],">":[147],"0.05).":[148],"Complications":[149],"minimal,":[151],"80%":[153,182],"patients":[155,184],"showing":[156],"Limb":[159],"length":[160],"discrepancy":[161],"(1":[162],"cm),":[163],"knee":[164],"stiffness":[165],"nail":[168],"irritation,":[169],"malalignment":[171],"noted":[173],"few":[176],"cases.":[177],"According":[178],"Flynn":[180],"criteria,":[181],"had":[185],"excellent":[186],"outcomes,":[187],"13.3%":[188],"satisfactory,":[189],"6.7%":[191],"poor":[192],"Conclusion:":[194],"is":[196,222],"safe,":[198],"effective,":[199],"method":[203],"treating":[205],"It":[212],"provides":[213],"stable":[214],"fixation,":[215],"promotes":[216],"early":[217],"mobilization,":[220],"associated":[223],"low":[225],"complication":[226],"rates,":[227],"making":[228],"it":[229],"as":[230],"preferred":[231],"modality.":[233]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-09T00:00:00"}
