Features and Analysis of Minimally Invasive Osteosynthesis With Elastic Titanium Rods of Forearm Bone Fractures in Children

This article presents an analysis of the treatment of 365 children with diaphyseal fractures of the forearm bones. The features of treatment, long-term outcomes, and clinical-radiological justification are based on the study of medical histories of children who were treated from 2022 to 2024 in the pediatric trauma department of the Emergency Hospital in Chernivtsi. The aim of the study was to evaluate the outcomes and provide clinical and radiological justification for the treatment of complex forearm bone fractures in children through osteosynthesis of fragments using Titanium Elastic Nails (TEN), ensuring reliable fixation, rapid restoration of limb function, and minimization of complication risks. Three clinical groups were identified. The first clinical group included 185 children treated with conservative methods. The second group comprised 102 children who underwent osteosynthesis with Titanium Elastic Nails. The third group consisted of 78 children who received other types of osteosynthesis (plating, repositioning, external fixation). The main indication for this functionally stable osteosynthesis was intraoperative fracture instability after primary repositioning-i.e., the inability to achieve a stable and satisfactory alignment of fragments solely with external immobilization. The minimally invasive nature of the method, combined with functionally stable osteosynthesis, made it applicable for unstable forearm fractures in children at risk of impaired bone healing (older age, diaphyseal location, and associated risk factors). The method of treating forearm fractures in children using TEN is considered one of the most effective and safe approaches in modern pediatric orthopedics. It provides stable fracture fixation, rapid healing, and a swift return to normal life. Due to its minimally invasive nature, this method significantly improves patients’ quality of life and shortens treatment duration.