WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Omar Farooq Khaleel, Saad Abdulsalam Fathi and Mohammed Hameed Sulaiman

ABSTRACT

Background:Tibial diaphysis fractures are common in children. It accounts for roughly 10 to 15% of pediatricfracture cases. These fractures are typically caused by non accidental injuries, recreational/sport re lated injuries,and traffic accidents. The surgical treatment of tibia fractures in children is a matter for controversy. In certaincircumstances, such as failed close reduction, open fracture, fracture with neurovascular injuries, patients withpolytraum a, and fracture with compartment syndrome, surgical intervention is recommended. Objectives: Is toevaluate the outcomes of flexible intramedullary nailing for treating tibial diaphysis fractures in children.Methods: The study is a prospective interventional study. Twenty patients with displaced fracture shaft of tibia fractures who treated by flexible nail at Al Salam Teaching Hospital in Mosul-Iraq between April 2023 and March 2025 are included in this study. Patients weighing more than 40 kilograms, those with vascular injuries, segmental fractures, knee or ankle fractures, and compartment syndrome in the leg were excluded from the study. The study questionnaire was divided into five parts. The first section provides demographic and trauma information of the study participants. The second part covers fractures details. The third part covers operative details. The fourth part for postoperative outcome. And the last part covers the post-operative complications of the study’s patients. Results : The study included 20 patients, of them; the mean age of the study patients is 8.69 ± 1.13 years. Thestudy found that the mean of callus formation was 4.5 ± 1.4 weeks, radiological union was 12.1 ± 3.2 weeks andfull weight bearing was 8.0 ± 1.1 weeks. Postoperative complications It’s evident that shortening of affected limbwas prevalent among 12 (60%) patients, lengthening of affected limb was prevalent among no patients. Moreover;anteroposterio r and lateral angulation of less than 5 ° were prevalent among 16 (80%) patients. Furthermore;rotation of less than 5 ° was prevalent among all patients. While pain at the site of fracture was present among 18(90%) patient, but nail protrusion and skin i rritation were prevalent among 15 (75%) patients and lastly limitationof knee movement was prevalent among 18 (90%) patients. Conclusion: Pediatric tibial diaphysis fractures can beeffectively treated using elastic nails, which regulate length, angulatio ns, and rotation while offering stabilitythrough three points of fixation per nail. Even if there were problems with elastic nails, they were all preventableand mild, requiring only minimal intervention.