Lower risk of malunion, higher risk of wound complication with MIPO vs IMN for distal tibia fracture .
Intramedullary Nailing Versus Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures: A Systematic Review and Meta-Analysis
Orthop Surg. 2019 Dec; 11(6): 954–965.Ten RCTs with a total of 911 patients were included in this meta-analysis comparing intramedullary nailing and minimally-invasive plate osteosynthesis for the treatment of distal tibia fractures. Outcomes of interest included operative time, radiation time, union time, the incidence of malunion, the incidence of non-union or delayed union, and the incidence of wound complications. Results revealed a significantly lower risk of malunion, but higher risk of wound complications, with minimally-invasive plate osteosynthesis compared to intramedullary nailing. Pooled results for remaining outcomes were not significantly different.
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