ArticleSICOT-J2018
Nail or plate in the management of distal extra-articular tibial fracture, what is better? Valutation of outcomes.
Article in SICOT-J, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Surgical outcomes and complications of fixation strategies for distal tibial fractures: a systematic review and network meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Pooled it
- Extreme nailing: standardized definition and outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Retrograde tibial intramedullary nailing for distal tibial fractures: outcomes and complications.Journal of orthopaedic surgery and research · 2025Article
- Surgical treatment of distal tibia non-unions with a retrograde intramedullary nail as a therapy option to prevent amputation.Scientific reports · 2025Article
- Nonunion of the distal one-fourth of the tibia treated by retrograde tibial intramedullary nail.The Journal of international medical research · 2024Article
- Risk factors for malunion of distal tibia fractures treated by intramedullary nailing.Journal of orthopaedic surgery and research · 2024Article
- Cerclage Wiring Improves Biomechanical Stability in Distal Tibia Spiral Fractures Treated by Intramedullary Nailing.Journal of clinical medicine · 2023Article
- No Difference in Short-Term Complications following Treatment of Closed Tibial Shaft Fractures with Intramedullary Nailing versus Plate Fixation.Advances in orthopedics · 2023Article
- Effect of fracture level on the residual fracture gap during tibial intramedullary nailing for tibial shaft fractures.SICOT-J · 2023Article
- Tips and Tricks in surgical reduction of the posterior column of AO/OTA C3 pilon fractures.BMC musculoskeletal disorders · 2022Article
- Comparison Between the Modified External Fixation and Calcaneal Traction in Ruedi-Allgower Type II/III Pilon Fractures.Medical science monitor : international medical journal of experimental and clinical research · 2021Article
- Influence of reduction quality on functional outcome and quality of life in treatment of tibial plafond fractures: a retrospective cohort study.BMC musculoskeletal disorders · 2019Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDistal tibial fractures are the most common long bone fractures. Several studies focusing on the methods of treatment of displaced distal tibial fractures have been published. To date, locked plates, intramedullary nails and external fixation are the three most used techniques. The aim of our study was to compare intramedullary nail (IMN) and locked plate (LP) for treatment of this kind of fracture. MATERIALS AND
methodsWe collected data on 81 patients with distal tibial fractures (distance from the joint between 40 and 100 mm) and we divided into two groups: IMN and LP. We compared in the 2 groups the mean operation time, the mean union time, the infection rate the rate of malunion and nonunion, the full weight bearing time.
resultsNo patient in the two groups developed a nonunion. None of the patients obtained a fair or poor outcome. Overall 52 patients obtained an excellent result (69.3%) and 23 obtained a good result (30.6%). DISCUSSION: Our study results indicate a superiority of IMN over LP in terms of lower rates of infections and statistically significant shorter time to full weight bearing. Whereas LP appeared to be advantageous over IMN in terms of leading to a better anatomical and fixed reductions of the fracture and a lower rate of union complications. The two treatments achieved comparable results in terms of operation time, hospital stay, union time and functional outcomes.
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Registered trials
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