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Author Verified
Meta-analysis
ACE Report #7583
Ace Report Cover Trauma

Network Meta-Analyses: Unreamed nailing best treatment for open tibial shaft fractures


Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Which Surgical Treatment for Open Tibial Shaft Fractures Results in the Fewest Reoperations? A Network Meta-analysis

Clin Orthop Relat Res. 2015 Feb 28. [Epub ahead of print]

Contributing Authors: CJ Foote GH Guyatt KN Vignesh R Mundi H Chaudhry D Heels-Ansdell L Thabane Tornetta P M Bhandari

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OE EXCLUSIVE

Dr. C.J. Foote discusses a network meta-analysis assessing treatments for open tibial shaft fractures.

Synopsis

A comprehensive review and network meta-analysis was conducted looking at the complication rates requiring reoperation for all stabilization techniques for open tibial shaft fractures (Gustilo Types I – IIIB). Treatments evaluated were plate fixation, external fixation (by any method), reamed and unreamed intramedullary nailing, and Ender intramedullary nailing. Fourteen trials including 1279 pati...

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