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Functional Outcomes of External vs. Internal Fixation for Severe Open Tibial Shaft Fractures

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Ace Report Cover
June 2025

Functional Outcomes of External vs. Internal Fixation for Severe Open Tibial Shaft Fractures

Vol: 307| Issue: 6| Number:6| ISSN#: 2564-2537
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.

Contributing Authors:
J Solarczyk NM Simske AR Thompson L Reider EA Carroll JL Gary R Castillo SM Quinnan W Obremskey RV O'Toole HA Vallier S Morshed

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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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