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Vol:8 Issue:11 Number:4 ISSN#:2564-2537
ACE Report #12025
Ace Report Cover Trauma

OTA 2019: No difference between IM nail or locked plate for proximal tibia fractures

How to Cite

OrthoEvidence. OTA 2019: No difference between IM nail or locked plate for proximal tibia fractures. ACE Report. 2019;8(11):4. Available from:

Study Type:Therapy
OE Level Evidence:N/A
Journal Level of Evidence:N/A

Locked Plating versus Nailing for Proximal Tibia Fractures: A Multicenter RCT

Contributing Authors: Paul Tornetta KA Egol Clifford B Jones Robert Ostrum Catherine Humphrey R Dunbar William M Ricci L Phieffer David Teague HC Sagi Andrew N Pollak SA Sems HC Pape S Morshed Edward Perez

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This ACE Report is a summary of a conference presentation or abstract. The information provided has limited the ability to provide an accurate assessment of the risk of bias or the overall quality. Please interpret the results with caution as trials may be in progress and select results may have been presented.


Proximal tibia fractures can be treated with intramedullary nail or locked plating, but it is unclear if one treatment is preferable. The authors randomized 108 adult patients with A1-3 or C1 proximal tibia fractures to undergoing intramedullary nail (n = 52) or locked plating (n = 47). Follow-up was performed to 1 year. Compartment syndrome was more common in the nail group (OR 4.0). There were n...

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