Titanium elastic nail system

Last revised by Reabal Najjar on 3 Feb 2023

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.


The most common complication according to one study has been irritation at nail entry site 3.

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