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ACE Report #9986
Ace Report Cover Trauma

Nail versus plate fixation for displaced, extra-articular distal tibial fractures

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

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 Trial

JAMA. 2017 Nov 14;318(18):1767-1776

Contributing Authors: SE Lamb J Achten ML Costa S Petrou I Pallister NR Parsons J Griffin

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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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