Nonunion of the ulna after elastic stable intramedullary nailing for unstable forearm fractures: a case series

Elastic stable intramedullary nailing (ESIN) for displaced forearm fractures in children has shown good results over the last two decades. To our knowledge, nonunion as complications after ESIN fixation of displaced forearm fractures is not well reported in English literature. In our institute, and over a period of 10 years, we identified three cases of nonunion of the ulna after ESIN fixation of unstable and displaced forearm both bone fractures. Two patients had closed fractures and one patient had an open fracture. There was no deep infection in any case. All cases after revision surgery went into union.