OTA2017: Locking plate versus intramedullary nail fixation for distal tibial fracture .
Fixation of Distal Tibia Fractures (UK FixDT): A Randomized Controlled Trial of Locking Plate Fixation Versus Intramedullary Nail Fixation in the Treatment of Adult Patients with a Displaced Fracture of the Distal Tibia
320 patients with a distal tibial fracture were randomized to fixation with either an intramedullary nail or a locking plate. Patients were assessed for disability and function after 3, 6, and 12 months follow-up. Complications were recorded, and economic analysis was performed. Clinical measures were reported to significantly favour intramedullary nail fixation after 3 months, though differences at 6 and 12 months were reported to not significantly differ between the two fixation types. The Economic evaluation also favoured intramedullary nail fixation.
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