OTA: High and low starting points for tibia shaft fracture nailing yield similar outcomes
Prospective Randomized Evaluation of Outcomes With Different Tibial Nail Entry Portals
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29 patients with closed tibial shaft fractures were randomized to undergo intramedullary nailing with either a high intracapsular starting point or a lower extracapsular starting point. At the end of the 24 month study, it was found that both the high and low intramedullary nailing starting points yielded similar patient function and pain scores.