OTA 2014: Supra- vs infrapatellar tibial nailing yields equal clinical/functional results .
Randomized Clinical Trial of Supra- Versus Infrapatellar Tibial Nailing: A Pilot Study
41 patients with tibial shaft fractures were randomly allocated to undergo surgical fixation with infrapatellar (IP) or suprapatellar (SP) intramedullary nailing. The purpose of this pilot trial was to compare clinical and functional outcomes of the knee between the two approaches up to 12 months post-surgery. IP and SP nailing yielded similar clinical and functional outcomes with respect to disability, knee range of motion, and pain, although the SF-36v2 bodily pain component score was superior in the SP group.
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