TRAUMA
Static versus dynamic intramedullary nailing for femoral and tibial shaft fractures: a double-blind, randomized clinical trial.
OrthoEvidence Journal (OE Journal) - ACE Report
Epub Ahead of Print
Ann Med Surg (Lond). 2025 Mar 27;87(4):2006-2013.Study Summary
52 patients with femur and tibia shaft fractures were randomized to either receive static intramedullary nailing (SIMN) (n=26) or dynamic intramedullary nailing (DIMN) (n=26). The primary outcome of interest was time to union. The secondary outcomes of interest were nonunion, delayed union, malunion, reoperation, and malrotation rates. Outcomes were measured at baseline, immediate post-op, 4 weeks, 8 weeks, 12 weeks and 12 months. The results of the study revealed that the time to union were significantly less in DIMN compared to SIMN.The rates of nonunion, delayed union, malunion, reoperation, and malrotation rates were not significantly different between the two groups.
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