ArticleInternational orthopaedics2019
Treatment of distal tibial fractures: prospective comparative study evaluating two surgical procedures with investigation for predictive factors of unfavourable outcome.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 4 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
- Efficacy comparison between intramedullary nail fixation and plate fixation in distal tibia fractures: a meta-analysis of randomized controlled trials.Journal of orthopaedic surgery and research · 2024Pooled it
- Prevalence and influencing factors of nonunion in patients with tibial fracture: systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Intramedullary Nailing Versus Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2019Pooled it
- The semi-extended infrapatellar intramedullary nailing of distal tibia fractures: a randomized clinical trial.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Trial
- A clinical comparative study of intramedullary nailing and minimally invasive plate osteosynthesis for extra-articular distal tibia fractures.American journal of translational research · 2023Article
- MIPO vs. intra-medullary nailing for extra-articular distal tibia fractures and the efficacy of intra-operative alignment control: a retrospective cohort of 135 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Optimal Design and Biomechanical Analysis of a Biomimetic Lightweight Design Plate for Distal Tibial Fractures: A Finite Element Analysis.Frontiers in bioengineering and biotechnology · 2022Article
- Factors that Influence Soft-tissue Injury in Fractures of the Distal Tibia.The archives of bone and joint surgery · 2021Article
- Nonunion in Patients with Tibial Shaft Fractures: Is Early Physical Status Associated with Fracture Healing?Cureus · 2020Article
- High-energy tibial pilon fractures: an instructional review.International orthopaedics · 2019Review
- When is indicated fibular fixation in extra-articular fractures of the distal tibia?Acta bio-medica : Atenei Parmensis · 2019Article
- The history of Italian Orthopaedics.International orthopaedics · 2019Article
- The management of syndesmotic screw in ankle fractures.Acta bio-medica : Atenei Parmensis · 2018Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study is to compare clinical and radiological outcome of intramedullary nailing (IMN) and locked plate (LP) in patients affected by fracture of the distal tibia (DTF). We performed also an analysis to identify predictive factors of unfavourable outcome.
methodsData about patients with DTF treated at our first level trauma centre between 2008 and 2017 were collected. Patients were divided in group 1 (IMN) and group 2 (LP). The inclusion criteria were age at least 18 years at the time of diagnosis and unilateral DTF (closed or Gustilo 1). Demographic variables and data related to surgical procedure and hospitalization were registered. X-ray at follow-up was reviewed to identify malunions and nonunions. Clinical outcome was evaluated using scores and registering any complication.
resultsOne hundred two patients were included in group 1 and 81 in group 2. In group 2 were documented higher operating time and hospitalization. The mean union time was 20.2 weeks for IMN and 24.8 weeks for LP group (p = 0.271). The rate of infections and wound complications was higher in group 2 while malunion and anterior knee pain were more frequent in group 1. No difference in scores for clinical outcome was documented after six months. The full-weight bearing time was significantly longer in the LP group (p = 0.019). At multivariate analysis, no variables showed a predictive power for unfavourable outcome.
conclusionsClinical and radiological results of LP and IMN appear similar. No predictive factors of unfavourable outcome were identified.
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