TraumaTitanium Elastic Nails for Pediatric Femur Fractures: A Multicenter Study of Early Results with Analysis of ComplicationsFlynn, John M. M.D.*; Hresko, Timothy M.D.†; Reynolds, Richard A. K. M.D.‡; Blasier, R. Dale M.D.§; Davidson, Richard M.D.*; Kasser, James M.D.†Author Information Study conducted at The Children's Hospitals of Philadelphia, Pennsylvania, U.S.A. From the *Division of Orthopaedics, The Children's Hospitals of Philadelphia, Philadelphia, Pennsylvania; †Department of Orthopaedics, The Children's Hospitals of Boston, Boston, Massachusetts; §Department of Orthopaedics, The Arkansas Children's Hospitals, Little Rock, Arkansas; and ‡Department of Orthopaedics, The Children's Hospitals of Los Angeles, Los Angeles, California, U.S.A. Address correspondence and reprint requests to Dr. John M. Flynn, Division of Orthopaedics, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104-4399, U.S.A. E-mail: flynnj @email.CHOP.edu Journal of Pediatric Orthopaedics: January-February 2001 - Volume 21 - Issue 1 - p 4-8 Buy Abstract Titanium elastic nailing is used instead of traction and casting in many European centers, but limited availability has prevented widespread use in North America. Before a planned general release in America, titanium elastic nails (TENs) were trialed at several major pediatric trauma centers. This multicenter study is a critical analysis of early results and complications of the initial experience. Overall, TENs allowed rapid mobilization with few complications. The results were excellent or satisfactory in 57 of the 58 cases. No child lost rotational alignment in the postoperative period. Irritation of the soft tissue near the knee by the nail tip occurred in four patients, leading to a deeper infection in two cases. As indications, implantation technique, and aftercare are refined, TENs may prove to be the ideal implant to stabilize many pediatric femur fractures, avoiding the prolonged immobilization and complications of traction and spica casting. © 2001 Lippincott Williams & Wilkins, Inc.