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ACE Report #9961
Ace Report Cover Trauma

OTA2017: Locking plate versus intramedullary nail fixation for distal tibial fracture

Study Type:Randomized Trial
OE Level Evidence:N/A
Journal Level of Evidence:N/A

Fixation of Distal Tibia Fractures (UK FixDT): A Randomized Controlled Trial of Locking Plate Fixation Versus Intramedullary Nail Fixation in the Treatment of Adult Patients with a Displaced Fracture of the Distal Tibia

Contributing Authors: ML Costa

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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.


320 patients with a distal tibial fracture were randomized to fixation with either an intramedullary nail or a locking plate. Patients were assessed for disability and function after 3, 6, and 12 months follow-up. Complications were recorded, and economic analysis was performed. Clinical measures were reported to significantly favour intramedullary nail fixation after 3 months, though differences ...

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