Dundar, AbdulrahimKaya, Sehmuz2025-05-102025-05-1020242452-605310.32641/andespediatr.v95i3.49262-s2.0-85196745558https://doi.org/10.32641/andespediatr.v95i3.4926https://hdl.handle.net/20.500.14720/10750In elastic stable intramedullary nailing (ESIN), there are different opinions among surgeons on whether to leave the nail buried in the same arm or to leave it exposed. Objective: To determine the risk of re -fracture in patients with a nail buried directly into the amr or left exposed as a treatment for forearm fractures, and to investigate postoperative complications. Patients and Method: The study included 113 pediatric patients with a forearm fracture of both diaphyses. Two groups were formed according to whether the nail was buried (Group B, n: 53) in the same arm or left exposed (Group E, n: 60). Data on the number of open reductions, the time to nail removal, the anesthesia type used for its removal, the number of re -fractures, skin infection, and nail entry site irritation were analyzed. Results: The mean union times between the groups were not significantly different ( P = 0.371). The mean time of nail removal in group B (16.02 +/- 1.29 weeks) was significantly longer than that of group E (6.65 +/- 0.95 weeks) ( P < 0.001). Open reduction rates were similar between groups ( P = 0.401). The general anesthesia rate for nail removal in group B (77.4%) was significantly higher than group E (11.7%) ( P < 0.001). The re -fracture rate was higher in patients who underwent open reduction in both groups ( P < 0.001). Conclusion: The results of this study demonstrated that, despite the increased infection rate, leaving the nail exposed did not increase the re -fracture rate, which was associated with open reduction.esinfo:eu-repo/semantics/openAccessIntramedullary NailingForearm FractureBuriedExposedRe-Fracture, Pediatric TreatmentArticle953N/AQ326327139093211WOS:001248395100005