35 pediatric patients with a closed, diaphyseal forearm fracture were randomized to fixation with either biodegradable intramedullary nailing (BIN) or titanium elastic static intramedullary nailing (ESIN). Patients were assessed after 2 years for results related to range of motion in forearm rotation, wrist elbow flexion-extension, wrist flexion-extension, fracture healing, radial and ulnar angulation, and incidence of complications, including implant failure and re-fracture. No significant differences were noted between groups in ranges of motion, and no case of nonunion was recorded in either group. Dorsal ulnar angulation and lateral radial angulation on radiograph at 2 years was significantly greater in the BIN group. In addition, two cases of implant failure and two cases of re-fracture were recorded, all in the BIN group.