Data from a study published in the Nov. 14 issue of The Journal of the American Medical Association suggest similar outcomes for nail fixation or locking plate fixation of acute, displaced, extra-articular fracture of the distal tibia in adult patients. 

The authors conducted a multicenter, randomized trial of 258 patients aged 16 years or older who underwent fixation with either intramedullary nail or locking plate. They found a statistically significant difference in favor of nail fixation based on Disability Rating Index (DRI) at 3-month follow-up, but no such difference at 6 or 12 months. The authors also found no statistically significant difference in complication across cohorts, including number of postoperative infections. However, they note that further surgery was more common in the plate group at 12-month follow-up. Learn more...

Submit Community Content

If you have orthopedic information that you would like to share with the Orthogate Community, please register/login and submit your news, event, job, article, case or workshop from the Submit Content menu under the My Account area. Learn more!