Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium Nails

Introduction: Intramedullary interlocking nails are commonly used for humerus fracture fixation in children and adolescents. Although effective, this method can disrupt medullary blood flow and pose biomechanical challenges. Titanium elastic nails (TEN) offer a less invasive alternative with fewer c...

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Main Author: Pouria Tabrizian
Format: Article
Language:English
Published: SBMU Journals 2025-01-01
Series:Archives of Advances in Biosciences
Subjects:
Online Access:https://journals.sbmu.ac.ir/aab/article/view/46434
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author Pouria Tabrizian
author_facet Pouria Tabrizian
author_sort Pouria Tabrizian
collection DOAJ
description Introduction: Intramedullary interlocking nails are commonly used for humerus fracture fixation in children and adolescents. Although effective, this method can disrupt medullary blood flow and pose biomechanical challenges. Titanium elastic nails (TEN) offer a less invasive alternative with fewer complications, yet limited studies have compared TEN with other fixation methods in this age group. This study aimed to evaluate the outcomes of TEN for humerus fractures in pediatric patients. Materials and Methods: In this cross-sectional study, pediatric patients who underwent humerus fracture fixation with TEN at Shafa Hospital (2019–2020) were assessed. Functional outcomes were evaluated using the Disability of Arm, Shoulder, and Hand (DASH) Score; pain was measured by the Visual Analog Scale (VAS), and elbow range of motion was measured with a goniometer. Complications, including infection and nerve injury, were recorded. Results: Among the 23 patients treated with TEN, the mean age was 8.5 years. Postoperative complications occurred in 17.4% of cases, including hematoma, nail tip protrusion, and superficial infection. There were no significant differences in range of motion between male and female patients. Conclusion: Titanium elastic nails provide a safe and effective option for humerus fracture fixation in children, offering favorable outcomes with minimal complications.
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spelling doaj-art-7926bbad287d46fd973f164c80c490bc2025-08-20T03:07:58ZengSBMU JournalsArchives of Advances in Biosciences2783-12642025-01-0115116Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium NailsPouria Tabrizian0Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, IranIntroduction: Intramedullary interlocking nails are commonly used for humerus fracture fixation in children and adolescents. Although effective, this method can disrupt medullary blood flow and pose biomechanical challenges. Titanium elastic nails (TEN) offer a less invasive alternative with fewer complications, yet limited studies have compared TEN with other fixation methods in this age group. This study aimed to evaluate the outcomes of TEN for humerus fractures in pediatric patients. Materials and Methods: In this cross-sectional study, pediatric patients who underwent humerus fracture fixation with TEN at Shafa Hospital (2019–2020) were assessed. Functional outcomes were evaluated using the Disability of Arm, Shoulder, and Hand (DASH) Score; pain was measured by the Visual Analog Scale (VAS), and elbow range of motion was measured with a goniometer. Complications, including infection and nerve injury, were recorded. Results: Among the 23 patients treated with TEN, the mean age was 8.5 years. Postoperative complications occurred in 17.4% of cases, including hematoma, nail tip protrusion, and superficial infection. There were no significant differences in range of motion between male and female patients. Conclusion: Titanium elastic nails provide a safe and effective option for humerus fracture fixation in children, offering favorable outcomes with minimal complications. https://journals.sbmu.ac.ir/aab/article/view/46434humerus fracturetitanium elastic nailfixation
spellingShingle Pouria Tabrizian
Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium Nails
Archives of Advances in Biosciences
humerus fracture
titanium elastic nail
fixation
title Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium Nails
title_full Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium Nails
title_fullStr Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium Nails
title_full_unstemmed Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium Nails
title_short Investigating the Outcomes of Adolescent Treatment for Humerus Fractures Using Elastic Titanium Nails
title_sort investigating the outcomes of adolescent treatment for humerus fractures using elastic titanium nails
topic humerus fracture
titanium elastic nail
fixation
url https://journals.sbmu.ac.ir/aab/article/view/46434
work_keys_str_mv AT pouriatabrizian investigatingtheoutcomesofadolescenttreatmentforhumerusfracturesusingelastictitaniumnails