الفهرس 
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Abstract
This study was done at Menoufiya University Hospital and
Nasr city Insurance Hospital between Mar. 2012 and Jun. 2013.
20 children between 5-15 years old (mean of age 11.3 years)
with 20 tibial shaft fractures were included.
Thirteen fractures were caused by RTAs (65%), six fractures
caused by falling from height (30%) and one case due to falling
of heavy object over the leg ( 5%).
ESINs were used in treating all the patients, two nails were
used for each case with antegrade technique
The mean of full weight bearing (FWB) time was 9.7 weeks
(range from 8 to 16weeks). The average duration of follow up
was 8.1 months (range from 6 to 15 months).
Radiological union was assessed by using RUST scoring
system at 4th week and 12th week.
Three cases were complicated with Nail ends protrusion.
Shortening <2 cm occurred in 2 cases and mal alignment
(angulations) <10° occured in other 2 cases .
The results were excellent in 15 patients (75%), satisfactory
in 5 patients (25%) with no poor results.