Background: Management of femoral diaphyseal fracture in the age group of 5-16 years is controversial. The purpose of this study is to demonstrate the effectiveness of intramedullary fixation of femoral shaft fractures by using titanium elastic nailing system (TENS). Materials and Methods: Between November 2018 and November 2019, 20 pediatric patients (12 boys, 8 girls) aged 5-16 years with diaphyseal femoral fractures were treated by retrograde TENS fixation. Fractures were classified according to level of fracture as Proximal 1/3 shaft (n=5) Mid 1/3 shaft (n=13) and Distal 1/3 shaft (n=2). The final results were evaluated by using Flynn's criteria. Results: All fractures were radiologically united at 9-16 weeks’ period (mean 12.15 weeks) and full weight bearing was possible in a mean time of 14.15 weeks. According to Flynn's criteria, excellent result was found in 15 patients (75%) and satisfactory in 5 patients (25%). Limb shortening was noticed in 2 cases, varus mal- alignment was in 1 cases. Conclusion: TENS is a safe and effective method for the treatment of pediatric femoral shaft fractures, because it is minimally invasive, relatively easy to use and shows very good functional and cosmetic results.

Femur, Fracture, Children, Titanium Elastic Nails, Flexible Intramedullary Nailing, Elastic Stable Intramedullary Nailing