{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:02:24Z","timestamp":1789786944977,"version":"4.0.1"},"reference-count":5,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>In resource-limited settings such as rural Nepal, the lack of intra-operative fluoroscopy often forces clinicians to choose between suboptimal conservative management or referral to distant centres. Our case series presents the feasibility of the titanium elastic nailing system for displaced childhood both-bone forearm fractures using tactile feedback and portable radiography instead of a C-arm. While the rate of open reduction was higher than in a fluoroscopy-guided series (2\/9 for radius, 4\/9 for ulna), all cases achieved stable intramedullary placement and clinical union. This approach offers a viable alternative for maintaining surgical standards in so-called \u2018blind\u2019 settings.<\/jats:p>","DOI":"10.1177\/00494755261457477","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T09:17:33Z","timestamp":1781083053000},"page":"749-751","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diaphyseal forearm fractures without fluoroscopy: Titanium elastic nailing system (TENS): A paediatric case series from Nepal"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7056-4939","authenticated-orcid":false,"given":"Ravi Kiran","family":"Pathak","sequence":"first","affiliation":[{"name":"Department of Orthopedics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000006669"},{"key":"e_1_3_3_3_2","first-page":"88","article-title":"Intramedullary nailing of forearm fractures in children","volume":"8","author":"Griffet J","year":"1999","unstructured":"Griffet J, el Hayek T, Baby M. Intramedullary nailing of forearm fractures in children. J Pediatr Orthop B 1999; 8: 88\u201389.","journal-title":"J Pediatr Orthop B"},{"key":"e_1_3_3_4_2","article-title":"Evaluation of clinical outcomes of management of paediatric bone forearm fractures using titanium elastic nailing system: a prospective study of 50 cases","volume":"10","author":"Kapila R","year":"2016","unstructured":"Kapila R, Sharma R, Chugh A, et al. Evaluation of clinical outcomes of management of paediatric bone forearm fractures using titanium elastic nailing system: a prospective study of 50 cases. J Clin Diagn Res 2016; 10: RC12\u2013RC15.","journal-title":"J Clin Diagn Res"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2016.02.010"},{"key":"e_1_3_3_6_2","first-page":"110","article-title":"Pediatric forearm fractures: investigating the functional outcomes of titanium elastic nailing for unstable both-bone fractures","volume":"14","author":"Saseendar S","year":"2024","unstructured":"Saseendar S, Anand KP U, Latchoumibady K, et al. Pediatric forearm fractures: investigating the functional outcomes of titanium elastic nailing for unstable both-bone fractures. J Orthop Case Rep 2024; 14: 110\u2013115.","journal-title":"J Orthop Case Rep"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261457477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261457477","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261457477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:17:30Z","timestamp":1789784250000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261457477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,10]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/00494755261457477"],"URL":"https:\/\/doi.org\/10.1177\/00494755261457477","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,10]]}}}