A retrospective review of 60 diaphyseal tibia @entity174 (31 closed and 29 open @entity174 ) treated with flexible intramedullary fixation was conducted. All charts and radiographs were reviewed. @entity1 ranged in age from 5.1 to 17 years. Fifty @entity1 with 51 @entity174 were followed up until union and comprised the study group. The mean follow-up period for these 50 @entity1 was 79 weeks. Forty-five @entity174 achieved bony union within 18 weeks (mean, 8 weeks). Five @entity1 (11%) had @entity245 (3 had delayed unions that ultimately healed with casting or observation, and 2 had nonunions that required secondary procedures to achieve union [1 @entity1 underwent a fibular osteotomy, and 1 underwent exchange nailing with a reamed tibial nail]). These 5 @entity174 ultimately healed, with a mean time to union of 41 weeks. @entity1 with @entity245 tended to be older (mean age, 14.1 years) versus the study population as a whole (mean age, 11.7 years). In addition to delayed union, other complications were observed in the study population. One @entity1 healed with malunion (13-degree valgus), requiring corrective osteotomy. One @entity1 with a grade II open @entity174 was diagnosed with @entity4034 at the @entity174 site after attaining bony union. Two @entity1 developed nail migration through the skin, requiring modification or nail removal. The fixation of pediatric diaphyseal tibia @entity174 with @entity702 elastic nails is effective but has a substantial rate of @entity245 , particularly in older @entity1 .

Complications after @entity702 elastic nailing of pediatric XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'Children', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity4034 :: ('MESH:D010019', 'Disease') :: ['osteomyelitis'] @entity245 :: ('MESH:D002658', 'Disease') :: ['delayed healing'] @entity702 :: ('MESH:D014025', 'Chemical') :: ['titanium']
@entity174 :: (MESH:D050723,Disease) :: ['tibial fractures']
