Nail versus plate fixation for displaced, extra-articular distal tibial fractures
Effect of Locking Plate Fixation vs Intramedullary Nail Fixation on 6-Month Disability Among Adults With Displaced Fracture of the Distal Tibia: The UK FixDT Randomized Clinical TrialJAMA. 2017 Nov 14;318(18):1767-1776
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321 patients with a displaced, extra-articular distal tibial fracture were randomized to fixation with either an intramedullary nail or a locking plate. Patients were followed up for the primary outcome of disability at 3, 6, and 12 months, secondary outcomes included function, quality of life, complication rate, and reoperation rate. For disability, significantly lower scores were observed in the...
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