Long-term implant retention after impacted elastic stable intramedullary nailing in pediatric diaphyseal forearm fractures: a retrospective cohort study

Key Points

• The study aims to evaluate the long-term retention of implants used in pediatric diaphyseal forearm fractures treated with elastic stable intramedullary nailing.
• Retrospective cohort study of pediatric patients
• Analysis of implant retention rates
• Evaluation of secondary procedures and complications
• High long-term implant retention rates observed
• Approximately one-third experienced complications or required secondary procedures
• A 3 mm protrusion threshold was linked to irritation-related implant removal