Introduction:Diaphysealfractures of the radius and ulna are one of the most common in the pediatric population estimated around 40% of all pediatric fractures.Conservative management with closed reduction and immobilization with above elbow cast can lead to malunion.The introduction of titanium elastic nailing system has changed the treatment scenario. The aim of this study is to evaluate the functional outcome of management of both bone forearm fractures by closed reduction and internal fixation with titanium elastic nail system Materials and Methods: A total of 20 patients aged 5-15 years with fracture of both radius and ulna were managed by internal fixation with titanium elastic nails. Closed reduction under image intensifier was achieved in most of the patients. Results: Results wereanalysed in reference to union, range of movements of adjacent joints and symptoms.86% showed excellent results , 8% showed good results ,6% showed fair results. Conclusion: Better functional outcome with less complications were achieved with ESIN with TENS.