Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Najjar R, Titanium elastic nail system. Reference article, Radiopaedia.org (Accessed on 25 Mar 2025) https://doi.org/10.53347/rID-161552
Titanium elastic nail system (TENS) is a form of intramedullary nailing typically used in the pediatric population because of the presence of a thick periosteum and the increased potential for bone remodeling in children.
They are not routinely used in adults due to a lack of resistance to rotational force and axial loading 4.
They are considered minimally invasive and are particularly useful in long bone fractures such as femoral diaphyseal, radial, and ulna fractures.
Complications
The most common complication according to one study has been irritation at nail entry site 3.
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1. Saikia K, Bhuyan S, Bhattacharya T, Saikia S. Titanium Elastic Nailing in Femoral Diaphyseal Fractures of Children in 6-16 Years of Age. Indian J Orthop. 2007;41(4):381-5. doi:10.4103/0019-5413.33876 - Pubmed
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2. Bhuyan B & Mohan Singh S. Titanium Elastic Nailing in Pediatric Femoral Diaphyseal Fractures in the Age Group of 5-16 Years - A Short Term Study. J Clin Orthop Trauma. 2014;5(4):203-10. doi:10.1016/j.jcot.2014.08.001 - Pubmed
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3. Rajak M, Thakur R, Choudhary A, Bhaduri I, Kumar S. Titanium Elastic Nailing in Femoral Diaphyseal Fractures in Children of 6-14 Years Age. Acta Orthop Belg. 2016;82(4):883-8. - Pubmed
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4. Mohamed A & Rajeev A. Clinical Outcomes and Complications of Titanium Versus Stainless Steel Elastic Nail in Management of Paediatric Femoral Fractures-A Systematic Review. Eur J Orthop Surg Traumatol. 2017;27(2):157-67. doi:10.1007/s00590-016-1880-x - Pubmed
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5. Huang Y, Renn J, Tarng Y. The Titanium Elastic Nail Serves as an Alternative Treatment for Adult Proximal Radial Shaft Fractures: A Cohort Study. J Orthop Surg Res. 2018;13(1):10. doi:10.1186/s13018-017-0704-y - Pubmed
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