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Functional Outcomes of External vs. Internal Fixation for Severe Open Tibial Shaft Fractures
June 2025
Functional Outcomes of External vs. Internal Fixation for Severe Open Tibial Shaft Fractures
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Functional Outcomes After Modern External Ring Fixation or Internal Fixation for Severe Open Tibial Shaft Fractures.
J Bone Joint Surg Am . 2025 Apr 2;107(7):694-701.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
In this multicenter randomized clinical trial of 254 patients aged 18–64 years with severe open tibial shaft fractures (Gustilo-Anderson Type-IIIB and severe-Type IIIA), patients were randomized to either internal fixation (IF) (n=132) or modern external ring fixation (EF) (n=122). The primary outcome was patient-reported physical function measured by the Short Musculoskeletal Function Assessment ...
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