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Orthopedic Trauma Directions 2004; 2(6): 17-25
DOI: 10.1055/s-2004-837052
DOI: 10.1055/s-2004-837052
Tibial fractures
Intramedullary nailing versus cast immobilizationFurther Information
Publication History
Publication Date:
24 November 2004 (online)
Summary
Studies show promising results that intramedullary nailing may be a better treatment than cast immobilization for closed or grade I open tibial fractures. Time-to-union and time away from work is significantly shorter, and there are fewer delayed unions and non-unions in the groups treated by intramedullary nailing. Pain is consistently greater in the groups treated by intramedullary nailing compared with casting; however, several aspects of health-related quality of life are superior in the intramedullary nailing group despite more pain complaints.
Strength of evidence | Average methods score (out of 10)