الفهرس 
flexible intramedullary nailing (nancy nail) vs conservative treatment of tibial fracture in children
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Abstract
Tibial fractures in the skeletally immature patients are frequent and can usually be treated without
surgery by closed reduction and casting during 6 or 8 weeks.
Elastic stable intramedullary nailing is a method of diaphyseal fracture osteosynthesis in children
and adolescents. It is commonly used in femoral shaft fractures, but much less so for tibial fractures.
We studied the results TENS vs casting of tibial fracture in children from 6 Years till 12 Years
divided into 16 patient in each group A and B with is a total of 32 patients. They were followed up for an
average of 6 months.
We used the same technique in all patients, 2 nails were used in all cases and all patients
in group A weren’t casted postoperatively, out of the 16 patients Only one patients had surgical site
infection, while 2 patients had difference in limb length after surgery with 0.5 cm difference. As well,
misalignment was reported in 12 patients with mean degree of misalignment 3.8 ± SD 1.7 º which was
graded excellent according to Flynn’s scoring system. However we passed through a learning curve
during performing this study, with most of the complications occurring in the early cases