{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:38Z","timestamp":1786649438097,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Diaphyseal fractures of the radius and ulna are among the most frequent long-bone injuries in children. While conservative management is often effective in stable fractures, surgical fixation is preferred for unstable or displaced fractures. The Titanium Elastic Nailing System (TENS) offers a minimally invasive fixation technique that preserves periosteal circulation and promotes early mobilization. This study aimed to evaluate the functional and radiological outcomes of pediatric both-bone forearm fractures treated with TENS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective observational study was conducted among 20 children (aged 4\u201312 years) with diaphyseal fractures of both radius and ulna treated using TENS at a tertiary hospital between January 2024 and June 2025. Functional outcomes were assessed using the Children\u2019s Hospital of Philadelphia criteria and Price\n                      <jats:italic toggle=\"yes\">et al<\/jats:italic>\n                      . grading system. Radiological union was defined by bridging callus formation in at least three cortices on orthogonal radiographs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age was 8.6 years, and 65% were males. The mean time to radiological union was 8.36 weeks (range: 6\u201314 weeks). Based on Price criteria, 75% of patients achieved excellent, 20% good, and 5% fair functional outcomes. Minor complications included pin-site infection (15%) and entry-site irritation (5%), with no nonunion or neurovascular injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TENS provides stable fixation, early union, and excellent functional recovery in pediatric both-bone forearm fractures. Its minimally invasive nature and low complication profile make it a preferred treatment modality for unstable diaphyseal fractures in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1704_25","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T17:00:21Z","timestamp":1766422821000},"page":"214-216","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Functional and Radiological Outcomes of Pediatric Both-Bone Forearm Fractures Treated with Titanium Elastic Nailing System: A Prospective Observational Study"],"prefix":"10.4103","volume":"17","author":[{"given":"A.","family":"Karthick","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Dharun","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashin","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panneerselvam","family":"Periasamy","sequence":"additional","affiliation":[{"name":"Department of Physiology, Government Erode Medical College, Erode, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"R1-20251223","first-page":"5325","article-title":"Treatment of diaphyseal forearm fractures in children","volume":"6","author":"Vopat","year":"2014","journal-title":"Orthop Rev"},{"key":"R2-20251223","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1007\/s43465-020-00320-2","article-title":"Remodelling in children's fractures and limits of acceptability","volume":"55","author":"Naik","year":"2021","journal-title":"Indian J Orthop"},{"key":"R3-20251223","first-page":"RC12","article-title":"Evaluation of clinical outcomes of management of paediatric both bone forearm fractures using titanium elastic nailing system: A prospective study of 50 cases","volume":"10","author":"Kapila","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"R5-20251223","doi-asserted-by":"crossref","first-page":"118449","DOI":"10.52965\/001c.118449","article-title":"Outcome of titanium elastic nail fixation in pediatric long bone fractures: A retrospective analysis","volume":"16","author":"Tella","year":"2024","journal-title":"Orthop Rev (Pavia)"},{"key":"R6-20251223","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1097\/BPB.0000000000000408","article-title":"Elastic stable intramedullary nailing in paediatric forearm fractures: Rate of open reduction and complications","volume":"26","author":"Makki","year":"2017","journal-title":"J Pediatr Orthop B"},{"key":"R7-20251223","first-page":"e38747","article-title":"Evaluation of functional outcome of both bone forearm fractures in pediatric population with TENS","volume":"15","author":"Somisetty","year":"2025","journal-title":"Cureus"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1704_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:11Z","timestamp":1786647251000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1704_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1704_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-11-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}