ArticleAmerican journal of translational research2023
A clinical comparative study of intramedullary nailing and minimally invasive plate osteosynthesis for extra-articular distal tibia fractures.
Article in American journal of translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.
- 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
- Intramedullary Nailing Versus Plate Fixation for AO/OTA Types 43A and 43B Distal Tibial Fractures: Early Pain Trajectories, 3-Month Ankle Function, and Return to Work in a Retrospective Cohort.Journal of clinical medicine · 2026Article
- Article
- [Comparison of effectiveness of tibial intramedullary nailing fixation via suprapatellar approach and medial parapatellar approach in treatment of multiple tibial fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Treatment of Soft Tissue Defects after Minimally Invasive Plate Osteosynthesis in Fractures of the Distal Tibia: Clinical Results after Reverse Sural Artery Flap.Medicina (Kaunas, Lithuania) · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe treatment of extra-articular distal tibia fractures is a difficult challenge. Minimally invasive plating osteosynthesis (MIPO) and intramedullary nailing (IMN) are satisfactory extra-articular distal tibia fractures. The optimal surgical treatment for extra-articular distal tibia fractures remains controversial. The purpose of this retrospective study was to compare the clinical and functional outcomes of patients with extra-articular distal tibia fractures treated with MIPO or IMN.
methodsFor this retrospective study, a total of 266 patients with closed extra-articular distal metaphysis (AO type 43-A) or closed distal tibial fracture (AO type 42) were enrolled and included; 110 patients were treated with MIPO, and 156 patients underwent IMN.
resultsThere was no significant difference in the primary operation union rate, the American Orthopaedic Foot and Ankle surgery (AOFAS) score, deep surgical site infection or malalignment between the MIPO and IMN groups. However, there was a longer operation time, more prospective times, more intraoperative blood loss and more frequent anterior knee pain in the IMN groups than that in the MIPO group. There was a significantly shorter time to union in the IMN group than that in the MIPO group (138.8±11.0 vs. 153.5±17.1 days, P < 0.05) and a lower superficial surgical site infection in the IMN group than that in the MIPO group (1.9% vs. 8.2%, P < 0.05).
conclusionsWe found that extra-articular distal tibia fractures can be treated satisfactorily with IMN or MIPO. Poller blocking screws have a main role in improving the efficacy of IMN. For patients with poor basic physical conditions or knee pain before fracture, MIPO is preferred to treat extra-articular distal tibia fractures. Whereas, for patients with poor local soft tissue conditions, IMN was recommended as a first choice.
Indexed as
Identifiers
37056820PMC10086916W4365484737What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.