| A randomised pilot trial of "locking plate" fixation versus intramedullary nailing for extra-articular fractures of the distal tibia. | |
| | |
MedLine Citation:
|
PMID: 22529095 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
The ideal form of fixation for displaced, extra-articular fractures of the distal tibia remains controversial. In the UK, open reduction and internal fixation with locking-plates and intramedullary nailing are the two most common forms of treatment. Both techniques provide reliable fixation but both are associated with specific complications. There is little information regarding the functional recovery following either procedure. We performed a randomised pilot trial to determine the functional outcome of 24 adult patients treated with either a locking-plate (n = 12) or an intramedullary nailing (n = 12). At six months, there was an adjusted difference of 13 points in the Disability Rating Index in favour of the intramedullary nail. However, this was not statistically significant in this pilot trial (p = 0.498). A total of seven patients required further surgery in the locking-plate group and one in the intramedullary nail group. This study suggests that there may be clinically relevant, functional differences in patients treated with nail versus locking-plate fixation for fractures of the distal tibia and differences in related complications. Further trials are required to confirm the findings of this pilot investigation. |
| | |
Authors:
|
C Mauffrey; K McGuinness; N Parsons; J Achten; M L Costa |
Related Documents
:
|
15084035 - Surgical repair of a coxofemoral luxation in an alpaca. 2537125 - The stretched scar: the benefit of prolonged dermal support. 22622385 - Effectiveness of external-rotation immobilization after initial shoulder dislocation in... 20825945 - Mechanics of cranial sutures using the finite element method. 11585335 - Potent and selective inhibition of human cathepsin k leads to inhibition of bone resorp... 18063715 - Cycling injuries of the lower extremity. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of bone and joint surgery. British volume Volume: 94 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2012 May |
Date Detail:
|
Created Date: 2012-04-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
|
Languages: eng Pagination: 704-8 Citation Subset: AIM; IM |
Affiliation:
|
Denver Health Medical Centre, Orthopedic Department, 777 Bannock Street, Denver, Colorado 80204, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Gustilo IIIC fractures in the lower limb: Our 15-year experience.
Next Document: Surgical treatment of Sprengel's shoulder: Experience at the Rizzoli Orthopaedic Institute 1975-2010...