Intamedullary nailing leads to similar disability scores in comparison to locking plate .
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A randomised pilot trial of “locking plate” fixation versus intramedullary nailing for extra-articular fractures of the distal tibia
J Bone Joint Surg Br. 2012 May;94(5):704-824 adult patients with closed or Gustilo I extra-articular fractures of the distal tibia were randomized to receive either locking plate or intramedullary nailing. The results from this pilot study indicated that at 6 month follow-up, disability scores favored the intramedullary group; however, the difference was non-significant. Furthermore, it was found that only one patient required revision in the intramedullary group in comparison to 7 that required revision in the locking plate group.
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