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Intramedullary nailing versus plating for distal tibial metaphyseal fracture
June 2014
Intramedullary nailing versus plating for distal tibial metaphyseal fracture
Study Type:Meta-analysis/Systematic Review
OE Level Evidence:3
Journal Level of Evidence:3
Intramedullary nailing versus plating for extra-articular distal tibial metaphyseal fracture: a systematic review and meta-analysis
Injury. 2014 Apr;45(4):667-76. doi: 10.1016/j.injury.2013.10.024.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
14 studies (5 prospective and 9 retrospective) were included in this meta-analysis (842 patients) comparing the clinical outcomes and complication rates between intramedullary nailing (IMN) and plating. Results from meta-analysis revealed significant between-group differences in infection rate favouring IMN, and malunion rate favouring plating. Rates of nonunion, secondary surgery, implant removal...
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