Shanz-assisted Closed Reduction (SACR): A Novel Reduction Technique for Elastic Stable Intramedullary Nailing of Pediatric Forearm Fractures.

Forearm fractures involving both bones are prevalent among pediatric patients. Elastic stable intramedullary nailing (ESIN) is an excellent option for forearm fractures that require surgical stabilization in children and adolescents. Proximal third fractures can be particularly challenging to reduce using closed techniques, and multiple unsuccessful attempts at nail insertion can increase the risk of compartment syndrome. In this article, we present a novel technique called Shanz-assisted closed reduction (SACR), which involves using a 4-mm Shanz to facilitate alignment and nail insertion while avoiding complications associated with longer operative times and open reduction.