No benefit of angular stable locking for intramedullary nailing of distal tibial fractures .
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Evaluation of the effectiveness of the angular stable locking system in patients with distal tibial fractures treated with intramedullary nailing: a multicenter randomized controlled trial
J Bone Joint Surg Am. 2014 Nov 19;96(22):1889-97.142 patients who suffered a distal tibial fracture were randomized to undergo intramedullary nailing locked with an angular stable locking system or conventional locking screws. The intent of this study was to determine which locking method achieved earlier full weight-bearing with minimum pain. Follow-up was performed up to 12 months postoperatively. No clinically important differences were observed for time to full weight-bearing with minimum pain or any secondary outcome.
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