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ACE Report #5752
Ace Report Cover Trauma

COA 2013: Nonunion reduced in tibial fracture treatment with reamed intramedullary nailing

Study Type:Meta analysis
OE Level Evidence:N/A
Journal Level of Evidence:N/A

A meta-analysis of reamed versus unreamed intramedullary nailing for the treatment of closed tibial fractures

Contributing Authors: D Jin Z Zou

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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.


8 randomized and 1 quasi-randomized clinical trials examining 1229 closed tibial fractures in adults were pooled in this meta-analysis to compare reamed and unreamed intramedullary nailing. The results indicate that reamed intramedullary nails reduced nonunion, screw failure, implant exchange and dynamization; similar outcomes were found in delayed union, malunion, infection, compartment syndrome,...

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