{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T08:51:19Z","timestamp":1775724679416,"version":"3.50.1"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","journal-cot.com","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Orthopaedics and Trauma"],"published-print":{"date-parts":[[2024,2]]},"DOI":"10.1016\/j.jcot.2024.102355","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:46:11Z","timestamp":1706834771000},"page":"102355","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["The use of flexible nails in the treatment of paediatric long bone fractures: Experience at a level one paediatric trauma centre, a cohort study"],"prefix":"10.1016","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9583-204X","authenticated-orcid":false,"given":"Alexander","family":"Hunt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5696-1183","authenticated-orcid":false,"given":"Nicholas","family":"Judkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Biggs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8859-2175","authenticated-orcid":false,"given":"Philip","family":"Sedgwick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0836-2885","authenticated-orcid":false,"given":"Caroline B.","family":"Hing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Yeo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"8","key":"10.1016\/j.jcot.2024.102355_bib1","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/j.injury.2007.01.036","article-title":"The epidemiology of fractures in children","volume":"38","author":"Rennie","year":"2007","journal-title":"Injury"},{"issue":"1","key":"10.1016\/j.jcot.2024.102355_bib2","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1302\/0301-620X.70B1.3339064","article-title":"Elastic stable intramedullary nailing of femoral shaft fractures in children","volume":"70","author":"Ligier","year":"1988","journal-title":"J Bone Joint Surg Br"},{"issue":"6","key":"10.1016\/j.jcot.2024.102355_bib3","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1097\/01.bpo.0000235397.64783.d6","article-title":"Use and abuse of flexible intramedullary nailing in children and adolescents","volume":"26","author":"Lascombes","year":"2006","journal-title":"J Pediatr Orthop"},{"issue":"3","key":"10.1016\/j.jcot.2024.102355_bib4","first-page":"176","article-title":"Titanium elastic nails versus spica cast in pediatric femoral shaft fractures: a systematic review and meta-analysis of 1012 patients","volume":"6","author":"Imam","year":"2018","journal-title":"Arch Bone Jt Surg"},{"issue":"5","key":"10.1016\/j.jcot.2024.102355_bib5","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1097\/00005373-200211000-00017","article-title":"Femoral shaft fractures in children: traction and casting versus elastic stable intramedullary nailing","volume":"53","author":"Buechsenschuetz","year":"2002","journal-title":"J Trauma"},{"issue":"7","key":"10.1016\/j.jcot.2024.102355_bib6","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1302\/0301-620X.86B7.15273","article-title":"Flexible intramedullary nails for fractures in children","volume":"86","author":"Barry","year":"2004","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.jcot.2024.102355_bib7","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/BPO.0b013e3181d98f2c","article-title":"Eleven years experience in the operative management of pediatric forearm fractures","volume":"30","author":"Flynn","year":"2010","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.jcot.2024.102355_bib8","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1007\/s11832-008-0112-2","article-title":"Use of end caps in elastic stable intramedullary nailing of femoral and tibial unstable fractures in children: preliminary results in 11 fractures","volume":"2","author":"Nectoux","year":"2008","journal-title":"J Child Orthop"},{"issue":"2","key":"10.1016\/j.jcot.2024.102355_bib9","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/01241398-200403000-00007","article-title":"Rotational control of various pediatric fractures stabilized with titanium elastic intramedullary nails","volume":"24","author":"Gwyn","year":"2004","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.jcot.2024.102355_bib10","first-page":"1761","article-title":"Operative treatment of tibial fractures in children: are elastic stable intra-medullary nails an improvement over internal fixation?","volume":"87","author":"Kubiak","year":"2005","journal-title":"J Bone Surg Am"},{"issue":"6","key":"10.1016\/j.jcot.2024.102355_bib11","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1097\/BPO.0b013e31824b7500","article-title":"Biomechanical analysis comparing titanium elastic nails with locked plating in two simulated pediatric femur models","volume":"32","author":"Porter","year":"2012","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.jcot.2024.102355_bib12","series-title":"Treatment of Pediatric Diaphyseal Femoral Fractures Evidence-Based Clinical Practice Guidelines","year":"2015"},{"key":"10.1016\/j.jcot.2024.102355_bib13","series-title":"NICE Guidance [NG38]. Fractures (Non-complex): Assessment and Management","year":"2016"},{"issue":"8","key":"10.1016\/j.jcot.2024.102355_bib14","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/j.injury.2014.04.020","article-title":"Systematic review: functional outcomes and complications of intramedullary nailing versus plate fixation for both-bone diaphyseal forearm fractures in children","volume":"45","author":"Patel","year":"2014","journal-title":"Injury"},{"issue":"6","key":"10.1016\/j.jcot.2024.102355_bib15","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1055\/s-0033-1360460","article-title":"Developments in the treatment of pediatric long bone shaft fractures","volume":"23","author":"Lieber","year":"2013","journal-title":"Eur J Pediatr Surg"},{"issue":"1S","key":"10.1016\/j.jcot.2024.102355_bib16","doi-asserted-by":"crossref","first-page":"S143","DOI":"10.1016\/j.otsr.2018.02.011","article-title":"Update on leg fractures in paediatric patients","volume":"105","author":"Metaizeau","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"issue":"3","key":"10.1016\/j.jcot.2024.102355_bib17","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1097\/BPO.0b013e3181684cd6","article-title":"Delayed healing of forearm shaft fractures in children after intramedullary nailing","volume":"28","author":"Schmittenbecher","year":"2008","journal-title":"J Pediatr Orthop"},{"issue":"5","key":"10.1016\/j.jcot.2024.102355_bib18","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1097\/BPO.0000000000001417","article-title":"Congenital forearm pseudoarthrosis, a systematic review for a treatment algorithm on a rare condition","volume":"40","author":"Siebelt","year":"2020","journal-title":"J Pediatr Orthop"},{"issue":"Suppl 1","key":"10.1016\/j.jcot.2024.102355_bib19","doi-asserted-by":"crossref","first-page":"S71","DOI":"10.1097\/BPO.0000000000000760","article-title":"Staying out of trouble performing intramedullary nailing of forearm fractures","volume":"36","author":"Wall","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.jcot.2024.102355_bib20","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1302\/0301-620X.93B2.24882","article-title":"Elastic intramedullary nailing of paediatric fractures of the forearm: a decade of experience in a teaching hospital in the United Kingdom","volume":"93","author":"Kang","year":"2011","journal-title":"J Bone Joint Surg Br"},{"issue":"Suppl 2","key":"10.1016\/j.jcot.2024.102355_bib21","doi-asserted-by":"crossref","first-page":"S123","DOI":"10.1097\/BPO.0b013e318259f326","article-title":"Evidence-based review: management of open pediatric fractures","volume":"32","author":"Pace","year":"2012","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"10.1016\/j.jcot.2024.102355_bib22","first-page":"95","article-title":"Diaphyseal femoral fractures in children treated with titanium elastic nail system","volume":"15","author":"Mishra","year":"2013","journal-title":"Nepal Med Coll J"},{"key":"10.1016\/j.jcot.2024.102355_bib23","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1097\/BPO.0b013e3182a11d3b","article-title":"Complications and outcomes of diaphyseal forearm fracture intramedullary nailing: a comparison of pediatric and adolescent age groups","volume":"33","author":"Martus","year":"2013","journal-title":"J Pediatr Orthop"},{"issue":"3","key":"10.1016\/j.jcot.2024.102355_bib24","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s00068-011-0091-8","article-title":"Clinical evaluation of end caps in elastic stable intramedullary nailing of femoral and tibial shaft fractures in children","volume":"37","author":"Slongo","year":"2011","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"3","key":"10.1016\/j.jcot.2024.102355_bib25","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/01.bpo.0000153943.45396.22","article-title":"Treatment of pediatric both-bone forearm fractures: a comparison of operative techniques","volume":"25","author":"Smith","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.jcot.2024.102355_bib26","doi-asserted-by":"crossref","first-page":"770","DOI":"10.2106\/00004623-200404000-00015","article-title":"Comparison of titanium elastic nails with traction and a spica cast to treat femoral fractures in children","volume":"86-A","author":"Flynn","year":"2004","journal-title":"J Bone Joint Surg Am"},{"issue":"10","key":"10.1016\/j.jcot.2024.102355_bib27","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/j.injury.2005.05.012","article-title":"The use of intramedullary nails in the stabilisation of paediatric fractures","volume":"36","author":"Berger","year":"2005","journal-title":"Injury"}],"updated-by":[{"DOI":"10.1016\/j.jcot.2026.103336","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000}},{"DOI":"10.1016\/j.jcot.2026.103336","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000}}],"container-title":["Journal of Clinical Orthopaedics and Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0976566224000249?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0976566224000249?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T02:57:39Z","timestamp":1715828259000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0976566224000249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":27,"alternative-id":["S0976566224000249"],"URL":"https:\/\/doi.org\/10.1016\/j.jcot.2024.102355","relation":{},"ISSN":["0976-5662"],"issn-type":[{"value":"0976-5662","type":"print"}],"subject":[],"published":{"date-parts":[[2024,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The use of flexible nails in the treatment of paediatric long bone fractures: Experience at a level one paediatric trauma centre, a cohort study","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Orthopaedics and Trauma","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcot.2024.102355","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Authors.","name":"copyright","label":"Copyright"}],"article-number":"102355"}}